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

DONALD W TICE, D.O.

Active

DONALD W TICE, D.O. is a Family Medicine healthcare provider located in PONTE VEDRA, Florida. NPI 1154380483 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PONTE VEDRA, FL

Registration Details

NPI Number
1154380483
Provider Type
Individual
Gender
Male
NPI Issued
Mar 23, 2006 (20.391714888614 yrs)
Last Updated
Mar 5, 2024
Licenses
OS19428 (FL)
D01509 (NV)

Practice Information

Address
141 HILDEN RD STE 201
PONTE VEDRA, FL, 320818400
Browse FL providers · Browse ZIP 32081
Phone
9048251941
Fax
9043907460
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in PONTE VEDRA, FL

Name Credential NPI
DR. ANGELA KAY STAPLETON-MACKENZIE M.D. 1518969575
DR. ARNOLD DOUGLAS FONG M.D. 1770571283
DR. JOEL ALAN AHLGRIM D.O. 1306821236
DR. LARA DIANE CHURCH M.D. 1043280449
DR. GERARDO BALDASSARRI M.D. 1275504581
JAMES D MOORE MD 1750353579
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.