Organization
DOCTORS INLET PEDIATRICS & PRIMARY CARE, PA
Active
Other names
DOCTORS INLET INTERNAL MEDICINE, SPINE & PAIN, DOCTORS INLET PEDIATRICS AND PRIMARY CARE, PA
Organization subpart
No
Provider details
NPI number
Authorized official
MILIND V TILAK (PHYSICIAN)
(904) 298-1994
Entity
Organization
Contact information
Practice address
430 COLLEGE DR STE 104-106, MIDDLEBURG, FL 32068-8530
(904) 298-1994
(904) 298-1973
Mailing address
430 COLLEGE DR STE 104-106, MIDDLEBURG, FL 32068-8530
(904) 298-1994
(904) 298-1973
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2941225
AETNA GROUP ID
FL
01
—
94792
BC/BS
FL
01
—
K6020
MEDICARE GROUP
FL
Enumeration date
07/26/2006
Last updated
10/03/2025
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