Search › Florida › 376J00000X
Lillie Tidwell
NPI 1639715121 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2332 Isle Royale Ct Se
Winter Haven, FL 33880 - Phone
- (863) 595-6212
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-03
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