Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRYSTAL C TIDWELL, DO
ActiveCRYSTAL C TIDWELL, DO is a Pediatrics healthcare provider located in SANTA ROSA BEACH, Florida. NPI 1275974909 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · SANTA ROSA BEACH, FL
Registration Details
- NPI Number
- 1275974909
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2013 (13.054344459108 yrs)
- Last Updated
- Sep 23, 2016
- License
-
OS14104 (FL)
Practice Information
- Address
-
23 MACK BAYOU LOOPSTE 200SANTA ROSA BEACH, FL, 324592606Browse FL providers · Browse ZIP 32459
- Phone
- 8502783920
- Fax
- 8502783919
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in SANTA ROSA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| DR. SUSANNA O BUCHHOLZ | MD | 1386638864 |
| LUIS FERNANDO GOMEZ | M.D. | 1265408397 |
| FREDERICK JOHN WEHLE JR. | MD | 1962470534 |
| DR. STEPHEN PATRICK BOLDUC | M.D. | 1740233170 |
| DR. RICKEY J VIATOR | M.D. | 1689601338 |
| DR. TIFFANY LAINE VROON | M.D. | 1184804809 |
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.