# THE VASCULAR GROUP OF BRADENTON, P.L.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306104336
- **Authorized official:** DR. WOODROW W YEANEY III M.D. (OWNER)
- **Authorized official phone:** (813) 286-0033

## Contact information

- **Practice address:** 4502 CORTEZ RD W, 2ND FLOOR, BRADENTON, FL 34210-3143
- **Practice address phone:** (813) 286-0033
- **Practice address fax:** (813) 489-2537
- **Mailing address:** PO BOX 25317, TAMPA, FL 33622-5317
- **Mailing address phone:** (813) 286-0033
- **Mailing address fax:** (813) 489-2537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2012
- **Last updated:** 07/12/2012