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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PAT T. TIDWELL MD PA

Active Organization

PAT T. TIDWELL MD PA is a Family Medicine organization located in NICEVILLE, Florida. NPI 1093086563 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · NICEVILLE, FL

Registration Details

NPI Number
1093086563
Provider Type
Organization
NPI Issued
Jan 16, 2012 (14.39182875076 yrs)
Last Updated
Dec 12, 2018
License
ME30890 (FL)

Practice Information

Address
4554 HIGHWAY 20 EAST
NICEVILLE, FL, 32578
Browse FL providers · Browse ZIP 32578
Phone
8506786735
Fax
8506788078
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.