Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
TIDWELL'S ORTHOTICS, LLC
Active
Organization
TIDWELL'S ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI TIDWELL C.PED, L.PED (PEDORTHIST/CEO)
(954) 346-5402
Entity
Organization
Contact information
Practice address
4450 NW 126TH AVE STE 106, CORAL SPRINGS, FL 33065-7604
(954) 346-5402
(954) 346-5403
Mailing address
4450 NW 126TH AVE STE 106, CORAL SPRINGS, FL 33065-7604
(954) 346-5402
(954) 346-5403
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PED117
FL
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers