Organization Active NPI

Vulnerati, LLC

  • Clinic/Center
  • Bradenton, FL
National Provider Identifier
1699548578
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VULNERATI, LLC
Practice address
2001 Manatee Ave E Ste 103
Bradenton, FL 34208-1620
Phone
(941) 803-8395
Fax
(941) 746-8037
NPI assigned
Nov 2, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Robert Ycaza, MD
Title
Owner Ceo
Phone
(941) 803-8395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2001 Manatee Ave E Ste 103
Bradenton, FL 34208-1620

Mailing address

2001 Manatee Ave E Ste 103
Bradenton, FL 34208-1620
Phone (941) 803-8395

Other practice location 1

115 W Bay St
Wauchula, FL 33873-3135
Phone (941) 803-8395

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1699548578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MANATEE AVE E STE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081620",
            "telephone_number": "941-803-8395",
            "fax_number": "941-746-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MANATEE AVE E STE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081620",
            "telephone_number": "941-803-8395",
            "fax_number": "941-746-8037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 W Bay St",
            "address_purpose": "LOCATION",
            "city": "Wauchula",
            "state": "FL",
            "postal_code": "338733135",
            "country_code": "US",
            "telephone_number": "941-803-8395",
            "fax_number": "941-803-8158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VULNERATI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "YCAZA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "941-803-8395",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Nov 2, 2023; 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.