Search › Florida › 207L00000X
Jonathan Tidwell, MD
NPI 1053574939 · on the registry since 2008 · sole proprietor
Practice
- Address
- 2337 Canal Dr
Niceville, FL 32578 - Phone
- (813) 482-6956
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Also registered as
- 208D00000X
390200000X - Licence states on file
- GA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida