Organization
DOCTORS INLET PEDIATRICS AND PRIMARY CARE
Active
Parent organization
DOCTORS INLET PEDIATRICS & PRIMARY CARE, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOCTORS INLET PEDIATRICS & PRIMARY CARE, PA
Authorized official
MILIND V TILAK MD (PRESIDENT)
(904) 298-1994
Entity
Organization
Contact information
Practice address
10175 FORTUNE PKWY UNIT 401-402, JACKSONVILLE, FL 32256
(904) 298-1994
(904) 298-1973
Mailing address
10175 FORTUNE PARKWAY, SUITE 402, JACKSONVILLE, FL 32256-6750
(904) 519-0008
(904) 379-7312
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
03/08/2016
Last updated
07/31/2018
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