Search › Florida › 208000000X
Crystal Tidwell, DO
NPI 1275974909 · on the registry since 2013
Practice
- Address
- 23 Mack Bayou Loop
Ste 200
Santa Rosa Beach, FL 32459 - Phone
- (850) 278-3920
- Fax
- (850) 278-3919
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-23
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