NPI | 1114424280 |
---|---|
Doing Business As | EXCEL PEDIATRICS |
Entity Type | Organization |
Authorized Contact | SUWARNA TILAK President 904-519-0008 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2018-04-06 |
Last Update Date | 2018-07-31 |