Organization
VEIN SPECIALISTS, P.A.
Active
Other names
Medicus Veincare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN M. TIDWELL M.D. (PRESIDENT)
(561) 624-0123
Entity
Organization
Contact information
Practice address
5155 CORPORATE WAY STE A, JUPITER, FL 33458-4359
(561) 624-0123
(561) 624-1453
Mailing address
5155 CORPORATE WAY STE A, JUPITER, FL 33458-4359
(561) 624-0123
(561) 624-1453
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME 62477
FL
Other
Enumeration date
09/14/2007
Last updated
04/02/2020
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