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DOCTORS INLET PEDIATRICS AND PRIMARY CARE
NPI 1073974861
Internal Medicine in Jacksonville, FL

Active since March 08, 2016CLIA 10D1004983 · Waiver
10175 FORTUNE PKWY UNIT 401-402, JACKSONVILLE, FL 32256(904) 298-1994(904) 298-1973 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2018, Mar 26, 2018, May 19, 2016 (3 updates tracked since 2016).

About Doctors Inlet Pediatrics And Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOCTORS INLET PEDIATRICS AND PRIMARY CARE (NPI 1073974861) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through October 28, 2026 and lists Milind V Tilak, President, as its authorized official.

NPPES Registry Identity

NPI1073974861
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDOCTORS INLET PEDIATRICS AND PRIMARY CARE
Location Address10175 FORTUNE PKWY UNIT 401-402Jacksonville, FL 32256
Mailing Address10175 Fortune Parkway, Suite 402Jacksonville, FL 32256-6750 · (904) 519-0008 · Fax (904) 379-7312
Phone(904) 298-1994
Fax(904) 298-1973
Organization SubpartYesParent: Doctors Inlet Pediatrics & Primary Care, Pa
Authorized OfficialMilind V TilakPresident · (904) 298-1994
Enumeration DateMarch 8, 2016
Last NPPES UpdateJuly 31, 20183 updates tracked since enumeration
✔ NPI 1073974861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
10175 FORTUNE PKWY UNIT 401-402, Jacksonville, FL 32256
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1004983

Doctors Inlet Pediatrics And Primary Care · Middleburg, FL
Active · expires Oct 28, 2026
CLIA Number10D1004983
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorDr. Milind V. Tilak
Laboratory Phone(904) 298-1994
Laboratory LocationDoctors Inlet Pediatrics And Primary Care430 College Dr Ste 104-106, Middleburg, FL 32068
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Doctors Inlet Pediatrics And Primary Care's NPI number?

The NPI number for Doctors Inlet Pediatrics And Primary Care is 1073974861. It was assigned to this organization in the NPPES registry on March 8, 2016.

Where is Doctors Inlet Pediatrics And Primary Care located?

Doctors Inlet Pediatrics And Primary Care is located at 10175 Fortune Pkwy Unit 401-402, Jacksonville, FL 32256. The listed phone number is (904) 298-1994.

What is Doctors Inlet Pediatrics And Primary Care's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Doctors Inlet Pediatrics And Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1004983) is associated with this NPI, valid through October 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Doctors Inlet Pediatrics And Primary Care was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.