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General NPI Number Information
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NPI Number | 1437073236
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Entity Type | Organization
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Legal Business Name | TAILWIND CARE PROVIDER GROUP, P.A.
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/09/2026
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Provider Practice Location Address
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Address Line | 1200 S PINE ISLAND RD
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City | PLANTATION
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State | FL
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Zip | 33324-4413
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Country | US
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Telephone | 305-452-0238
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Fax |
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Provider Business Mailing Address
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Address Line | 4830 W KENNEDY BLVD STE 600
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City | TAMPA
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State | FL
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Zip | 33609-2584
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Country | US
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Telephone | 305-452-0238
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VIKRAM BAKHRU
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Credential | MD
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Telephone | 305-452-0238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080B0002X
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Taxonomy Name | Pediatric Obesity Medicine Physician
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License Number |
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License Number State |
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