Organization
DOCTORS INLET PEDIATRICS AND PRIMARY CARE
Active
Other names
Doctors Inlet Internal Medicine, Spine and Pain
Organization subpart
No
Provider details
NPI number
Authorized official
MILIND V TILAK MD (OWNER)
(904) 298-1994
Entity
Organization
Contact information
Practice address
430 COLLEGE DR STE 100-102-104-106, MIDDLEBURG, FL 32068
(904) 298-1994
(904) 298-1973
Mailing address
430 COLLEGE DRIVE, SUITE 100/102, MIDDLEBURG, FL 32068-8531
(904) 644-8669
(904) 298-1994
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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