Organization
VIGAFRA PLLC
Active
Organization
VIGAFRA PLLC
Active
Other names
BRADENTON PAIN & WELLNESS CTR.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J YCAZA M.D. (PRESIDENT)
(941) 803-8395
Entity
Organization
Contact information
Practice address
2105 MANATEE AVENUE EAST, BRADENTON, FL 34208-1620
(941) 803-8395
(941) 803-8158
Mailing address
2001 MANATEE AVE E STE 103, BRADENTON, FL 34208-1620
(941) 803-8395
(941) 803-8158
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME66839
MEDICAL LICENSE
FL
Enumeration date
05/16/2007
Last updated
06/22/2022
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