| Ryan Scott Tidwell, APRN | |
|
661 E Altamonte Dr Ste 115, Altamonte Springs, FL 32701-5102 | |
| (407) 831-4040 | |
| (407) 260-0281 |
| Full Name | Ryan Scott Tidwell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 661 E Altamonte Dr Ste 115, Altamonte Springs, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336712033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11014417 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11014417 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventhealth Primary Care Network Inc | 1557722410 | 338 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Adventhealth Primary Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093493637 PECOS PAC ID: 1557722410 Enrollment ID: O20230725004134 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Scott Tidwell, APRN 661 E Altamonte Dr Ste 115, Altamonte Springs, FL 32701-5102 Ph: (407) 831-4040 | Ryan Scott Tidwell, APRN 661 E Altamonte Dr Ste 115, Altamonte Springs, FL 32701-5102 Ph: (407) 831-4040 |
Mercedes D Wierman, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 631 Palm Springs Dr, Suite 101, Altamonte Springs, FL 32701 Phone: 407-331-1121 | |
Mrs. Laura Wieber, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Boston Ave Ste 105, Altamonte Springs, FL 32701 Phone: 407-553-7710 Fax: 866-445-1446 | |
Ms. Amanda Jean Aruto, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 355 E Altamonte Dr Ste 1500, Altamonte Springs, FL 32701 Phone: 689-240-1719 | |
Ms. Madeline Japp, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 W Orange St, Altamonte Springs, FL 32714 Phone: 352-431-3940 | |
Holly Nichole Young, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 251 Maitland Ave Ste 116, Altamonte Springs, FL 32701 Phone: 407-915-5643 Fax: 407-960-2602 | |
Kelly Renee Paeth, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Boston Ave Ste 205, Altamonte Springs, FL 32701 Phone: 407-212-9532 | |
Lara Nicole Rimes, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 475 Osceola St Ste 1100, Altamonte Springs, FL 32701 Phone: 407-831-6200 |