Organization Active NPI

Ultroid Wellness Centers of Florida LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • St Petersburg, FL
National Provider Identifier
1811174113
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.