Excel Pediatrics

LBN: Children'S Express Care Clinic
Excel Pediatrics is an health care organization with primary practice located at 135 Durbin Station Ct Unit 503 , St Johns FL 32259-9370. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Children'S Express Care Clinic can be contacted via phone (904) 519-0008, or through Tilak, Suwarna M via phone (904) 519-0008.

Contact Information

Primary practice address
135 Durbin Station Ct Unit 503 St Johns FL 32259-9370
Phone: (904) 519-0008
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tilak, Suwarna M Doctor of Medicine (MD)
Phone: (904) 519-0008

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1538735246
LBN Legal business name Children'S Express Care Clinic
DBA Doing business as Excel Pediatrics
Authorized official Tilak, Suwarna M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 2nd, 2021
Last updated Jun 8th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538735246 NPPES
Florida MEDICAID 004548500

Popular Providers