Organization
CHILDREN'S EXPRESS CARE CLINIC
Active
Parent organization
CHILDREN'S EXPRESS CARE CLINIC
Other names
Excel Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S EXPRESS CARE CLINIC
Authorized official
SUWARNA TILAK MD (PRESIDENT)
(904) 519-0008
Entity
Organization
Contact information
Practice address
430 COLLEGE DRIVE, SUITE 100-102, MIDDLEBURG, FL 32068
(904) 644-8669
(904) 379-7312
Mailing address
430 COLLEGE DRIVE, SUITE 100-102, MIDDLEBURG, FL 32068-8531
(904) 644-8669
(904) 379-7312
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
07/31/2018
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