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

DR. PAT THOMAS TIDWELL, M.D.

Active Sole Proprietor

DR. PAT THOMAS TIDWELL, M.D. is a Family Medicine healthcare provider located in NICEVILLE, Florida. NPI 1184758526 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · NICEVILLE, FL

Registration Details

NPI Number
1184758526
Provider Type
Individual
Gender
Male
NPI Issued
Mar 16, 2007 (19.230197576705 yrs)
Last Updated
Aug 23, 2019
License
ME30890 (FL)
Sole Proprietor
Yes

Practice Information

Address
4400 E HIGHWAY 20 STE 203
NICEVILLE, FL, 325787700
Browse FL providers · Browse ZIP 32578
Phone
8508973678
Fax
8503734544
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in NICEVILLE, FL

Name Credential NPI
MR. LOUIS VAGIAS II MD 1881675544
MR. THOMAS L MCKNIGHT MD 1679554422
MS. JULIE ANNE STAATS DO 1023092525
ANDREW M YANG MD 1679558852
JENNIFER LYNN LAY MD 1851379101
DR. ALEC H SCHMIDT MD 1629048442
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.