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Organization
TIDWELL HEALTH SERVICES INC
Active
Organization
TIDWELL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS JAY TIDWELL ARNP (OWNER/PRESIDENT)
(941) 726-2082
Entity
Organization
Contact information
Practice address
4435 SPAHN ST, SARASOTA, FL 34232-5135
(941) 726-2082
Mailing address
4435 SPAHN ST, SARASOTA, FL 34232-5135
(941) 726-2082
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9326689
FL
Other
Enumeration date
12/24/2014
Last updated
12/24/2014
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