Search › Florida › 207V00000X
Brett Tidwell, DO
NPI 1417210352 · on the registry since 2012
Practice
- Address
- 27 Mack Bayou Loop
Ste 2000
Santa Rosa Beach, FL 32459 - Phone
- (850) 267-2961
- Fax
- (850) 622-5634
- Organisation at this address
- Sacred Heart Medical Oncology Group
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-14
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