Culinary MD INC
NPI #1093439820 in Jacksonville, Florida
Provider Information
- NPI Number
- 1093439820
- Entity Type
- Organization
- Organization Name
- Culinary MD INC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Sep 26, 2022
- Last Updated
- Sep 26, 2022
Practice Location
- Address
- 10175 FORTUNE PKWY UNIT 402
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32256-6750
- Phone
- (904) 463-2548
Authorized Official
- Name
- DR. SUWARNA M TILAK, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (904) 463-2548
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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