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Search › Florida › 1223G0001X

Michael Tidwell, DMD

NPI 1518954924 · on the registry since 2005

Practice

Address
350 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone
(386) 238-3280
Organisation at this address
Guidewell Medical Group, Inc.
Florida Health Care Plans Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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