Active NPI
Ultroid Wellness Centers of Florida LLC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- St Petersburg, FL
National Provider Identifier
1811174113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- ULTROID WELLNESS CENTERS OF FLORIDA LLC
- Doing business as
- Ultroid Wellness Centers Of Florida LLC
- Practice address
- 405 Central Ave
Suite 100
St Petersburg, FL 33701-3843 - Phone
- (727) 898-0717
- Fax
- (727) 898-0716
- NPI assigned
- Jan 29, 2008
- Organization subpart
- Yes
- Parent organization
- ULTROID CLINICS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Vautrin
- Title
- Ceo
- Phone
- (727) 898-0717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | FL | Primary |
Addresses
Primary practice location
405 Central Ave
Suite 100
St Petersburg, FL 33701-3843
Mailing address
405 Central Ave
Suite 100
St Petersburg, FL 33701-3843
Phone (727) 898-0717
Other names 1
- Ultroid Wellness Centers Of Florida LLC
National Provider Directory
National Provider DirectoryLocations
405 Central Ave
Ste 100
St Petersburg, FL 33701
Phone (321) 252-4449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224115200000",
"number": "1811174113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 CENTRAL AVE",
"address_2": "SUITE 100",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013843",
"telephone_number": "727-898-0717",
"fax_number": "727-898-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 CENTRAL AVE",
"address_2": "SUITE 100",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013843",
"telephone_number": "727-898-0717",
"fax_number": "727-898-0716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTROID WELLNESS CENTERS OF FLORIDA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ULTROID CLINICS INC",
"enumeration_date": "2008-01-29",
"last_updated": "2008-10-16",
"status": "A",
"authorized_official_last_name": "VAUTRIN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "727-898-0717",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ultroid Wellness Centers Of Florida LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St Petersburg, FL
- Supamit Ukarapong, M.D.
- Ricardo Alberto Ullrich, DMD
- Jaime L Ulrich, PA
- Ultra Imaging of Tampa LLC (dba Ultra Imaging of St. Petersburg)
- Ultra Imaging of Tampa LLC (Ultra Imaging of St. Petersburg LLC)
- Umbra Inc (4th St Pharmacy)
- Eric Umlah
- Vitalis Unaeze, M.D.
- Erica A Underwood, APRN
- Julie Unger, AU.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.