Culinary MD Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CULINARY MD INC

Practice address

10175 Fortune Pkwy Unit 402
Jacksonville, FL 32256-6750

Phone

(904) 463-2548

NPI assigned

Sep 26, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Suwarna M Tilak, MDNPI 1174546584

Title

Medical Director

Phone

(904) 463-2548

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suwarna M Tilak, MD

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1174546584
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1093439820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 FRONT RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 402",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566750",
            "telephone_number": "904-463-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULINARY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "TILAK",
        "authorized_official_first_name": "SUWARNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "904-463-2548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven P Cuffe, M.D.
• Rachel Lauren Cufferi
• Bulent Cuhaci, MD
• Min Cui, MD
• Wilma Ramos Culi, ARNP
• Kearsten Cull
• Benjamin Edward Cullen
• Brooke Cullen, CRNA
• Jamie Lynn Cullen, RBT
• Aubree Lynn Culleton, MSW

• Health Service Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.