MEDICARE: TAMPA WEIGHT LOSS INSTITUTE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1912723255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMPA WEIGHT LOSS INSTITUTE PLLC

Provider Business Mailing Address
First Line	:	PO BOX 22271
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33622-2271
Country	:	US
Telephone Number	:	727-823-2188
Fax Number	:	727-828-0723

Provider Business Practice Location Address
First Line	:	1502 W FLETCHER AVE STE 107
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3308
Country	:	US
Telephone Number	:	813-549-2392
Fax Number	:	888-440-3197

Authorized Official
Title or Position	:	PROVIDER/OWNER
Name	:	DR. AMIT K TAGGAR
Credential	:	MD
Telephone Number	:	813-549-2392

Provider Enumeration Date	:	12/03/2024
Last Update Date	:	02/18/2025

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