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Individual

DR. SUWARNA M TILAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME71441
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05527
HUMANA
FL
01
211581
AVMED
FL
05
250510000
FL
01
2941247
AETNA
FL
01
32326
BCBS
FL
Enumeration date
07/26/2006
Last updated
07/23/2026
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