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Contact Information

DOCTORS INLET PEDIATRICS & PRIMARY CARE, PA
10175 FORTUNE PKWY UNIT 401
JACKSONVILLE, FL32256
 Phone: 904-298-1994
 Fax: 904-298-1973
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for DOCTORS INLET PEDIATRICS & PRIMARY CARE, PA

NPI # 1205039690
LBN Legal business name DOCTORS INLET PEDIATRICS & PRIMARY CARE, PA
Authorized official MILIND TILAK - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/06/2007
Last updated 07/21/2022 - About 4 years ago
Identifiers
FL Medicaid 265248001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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