Pat T. Tidwell Md Pa

LBN: Pat T. Tidwell Md Pa
Pat T. Tidwell Md Pa is an health care organization with primary practice located at 4554 Highway 20 East , Niceville FL 32578. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Health Service. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Pat T. Tidwell Md Pa can be contacted via phone (850) 678-6735, or through Tidwell, Pat Thomas via phone (850) 678-6735.

Contact Information

Primary practice address
4554 Highway 20 East Niceville FL 32578
Phone: (850) 678-6735
Fax: (850) 678-8078
Website:
Map and Directions
Authorized official contact:
Name: Tidwell, Pat Thomas Doctor of Medicine (MD)
Phone: (850) 678-6735

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X ME30890 Florida

Profile Details

NPI number 1093086563
LBN Legal business name Pat T. Tidwell Md Pa
DBA Doing business as
Authorized official Tidwell, Pat Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2012
Last updated Dec 12th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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