MEDICARE: DR. VIPUL GARGYA MD

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	2086S0122X	Plastic and Reconstructive Surgery Physician	ME155575	FL

General Provider Information

NPI Number	:	1558770826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIPUL GARGYA MD

Provider Business Mailing Address
First Line	:	3120 W BAY TO BAY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-7212
Country	:	US
Telephone Number	:	813-413-6683
Fax Number	:	838-381-1334

Provider Business Practice Location Address
First Line	:	3120 W BAY TO BAY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-7212
Country	:	US
Telephone Number	:	813-413-6683
Fax Number	:	838-381-1334

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2014
Last Update Date	:	09/17/2025

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