Organization
CULINARY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUWARNA M TILAK MD (MEDICAL DIRECTOR)
(904) 463-2548
Entity
Organization
Contact information
Practice address
10175 FORTUNE PKWY UNIT 402, JACKSONVILLE, FL 32256-6750
(904) 463-2548
Mailing address
2939 FRONT RD, JACKSONVILLE, FL 32257-5624
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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