Doctors Inlet Pediatrics & Primary Care, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DOCTORS INLET PEDIATRICS & PRIMARY CARE, PA

Practice address

10175 Fortune Pkwy Unit 401
Jacksonville, FL 32256

Phone

(904) 298-1994

Fax

(904) 298-1973

NPI assigned

Jun 6, 2007

Organization subpart

Yes

Parent organization

DOCTORS INLET PEDIATRICS AND PRIMARY CARE, PAAs reported in NPPES

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

Authorized official

Name

Milind V Tilak, MDNPI 1316960735

Title

Owner

Phone

(904) 298-1994

Specialties & licenses 3

Addresses

Other identifiers 1

Part of

Doctors Inlet Pediatrics P

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Milind V Tilak, MD

  • Internal Medicine Physician
  • Middleburg, FL
  • NPI 1316960735

  Adult Medicine

  NPD (past) Authorized official
• Suwarna M Tilak, MD

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1174546584
  NPD (past)
• Dixie Turner, P.A.-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1598775298
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205039690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566750",
            "telephone_number": "904-298-1994",
            "fax_number": "904-298-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-298-1994",
            "fax_number": "904-298-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS INLET PEDIATRICS & PRIMARY CARE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTORS INLET PEDIATRICS AND PRIMARY CARE, PA",
        "enumeration_date": "2007-06-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TILAK",
        "authorized_official_first_name": "MILIND",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-298-1994",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265248001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Doctors Direct Transportation, Inc
• Doctors Inlet Pediatrics and Primary Care
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• Docvisits, LLC
• Naimisha Patel Dodani, PA-C
• Nicholas R Dodaro, MD

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.