| Pat T. Tidwell Md Pa | |
|
4554 Highway 20 East Niceville FL 32578 | |
| (850) 678-6735 | |
| (850) 678-8078 |
| Full Name | Pat T. Tidwell Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4554 Highway 20 East, Niceville, Florida |
| Authorized Official Name and Position | Pat Thomas Tidwell (PRESIDENT) |
| Authorized Official Contact | 8506786735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pat T. Tidwell Md Pa 4554 Highway 20 East Niceville FL 32578 Ph: (850) 678-6735 | Pat T. Tidwell Md Pa 4554 Highway 20 East Niceville FL 32578 Ph: (850) 678-6735 |
| NPI Number | 1093086563 |
|---|---|
| Provider Enumeration Date | 01/16/2012 |
| Last Update Date | 12/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093086563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | ME30890 (Florida) | Secondary |
White Wilson Med Ctr-bwb Fp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 E Highway 20, Family Practice Department, Niceville, FL 32578 Phone: 850-897-4400 Fax: 850-897-0623 | |
Emerald Coast Health Institute, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4566 E Highway 20, Niceville, FL 32578 Phone: 850-279-6949 Fax: 850-279-6957 | |
Mark E. Schroeder M.d.pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 College Blvd W, Suite C, Niceville, FL 32578 Phone: 850-678-3994 | |
Julie Staats Do Family Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2600 Partin Dr N Ste 120, Niceville, FL 32578 Phone: 850-279-3040 Fax: 850-279-3312 | |
Select Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 554 Twin Cities Blvd Ste A, Niceville, FL 32578 Phone: 850-729-3325 | |
Titan Hospitalist Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2190 Highway 85 N, Niceville, FL 32578 Phone: 877-281-3001 |