Organization Active NPI

Universal Wellness Concepts

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1346809043
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UNIVERSAL WELLNESS CONCEPTS
Practice address
821 12TH St W
Bradenton, FL 34205-7416
Phone
(727) 744-7475
Fax
(844) 320-9750
NPI assigned
Jun 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miranda Giusti, DO
Title
Owner
Phone
(607) 591-0623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

821 12TH St W
Bradenton, FL 34205-7416

Mailing address

821 12TH St W
Bradenton, FL 34205-7416

National Provider Directory

National Provider Directory

Locations

821 12th St W
Bradenton, FL 34205
Phone (727) 744-7475

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1346809043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 12TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342057416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 12TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342057416",
            "telephone_number": "727-744-7475",
            "fax_number": "844-320-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL WELLNESS CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GIUSTI",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-591-0623",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.