| NPI | 1518980937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILIND M TILAK President 904-298-1994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 208000000X Pediatrics | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-07-21 |