Provider Demographics
NPI:1487537627
Name:TALON WEIGHT LOSS
Entity type:Organization
Organization Name:TALON WEIGHT LOSS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HEWITT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:727-600-3923
Mailing Address - Street 1:11718 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-1024
Mailing Address - Country:US
Mailing Address - Phone:727-600-3923
Mailing Address - Fax:
Practice Address - Street 1:6224 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-2626
Practice Address - Country:US
Practice Address - Phone:727-314-3975
Practice Address - Fax:727-777-6884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty