OrganizationActive
Children'S Express Care Clinic
NPI 1730685157 · Pediatrics Physician · Middleburg, FL
Provider details
- NPI number
- 1730685157
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Children'S Express Care Clinic
- Organization subpart
- Yes
- Authorized official
- Suwarna Tilak, President(904) 519-0008
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
430 College Drive
Suite 100-102
Middleburg, FL 32068
Phone: (904) 644-8669
Fax: (904) 379-7312
Street-level locationGet directions
Mailing address
430 College Drive
Middleburg, FL 32068-8531
Other names (DBA / former)
- Doing business as
- Excel Pediatrics
Registry dates
- Enumerated
- 2018-04-04
- Last updated
- 2018-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.