Individual
DR. JONATHAN D TIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2337 CANAL DR, NICEVILLE, FL 32578-2911
(813) 482-6956
Mailing address
2337 CANAL DR, NICEVILLE, FL 32578-2911
(813) 482-6956
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME117825
FL
208D00000X
General Practice Physician
061763
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2008
Last updated
11/19/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us