Healthcare Provider Details

I. General information

NPI: 1437073236
Provider Name (Legal Business Name): TAILWIND CARE PROVIDER GROUP, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S PINE ISLAND RD
PLANTATION FL
33324-4413
US

IV. Provider business mailing address

4830 W KENNEDY BLVD STE 600
TAMPA FL
33609-2584
US

V. Phone/Fax

Practice location:
  • Phone: 305-452-0238
  • Fax:
Mailing address:
  • Phone: 305-452-0238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080B0002X
TaxonomyPediatric Obesity Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VIKRAM BAKHRU
Title or Position: PRESIDENT
Credential: MD
Phone: 305-452-0238