Individual
DR. JAMES H TIETSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2595 HARBOR BLVD, SUITE 207, PORT CHARLOTTE, FL 33952-6724
(941) 629-3937
(941) 627-2281
Mailing address
2595 HARBOR BLVD, SUITE 207, PORT CHARLOTTE, FL 33952-6724
(941) 629-3937
(941) 627-2281
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0069812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2546622100
—
FL
Enumeration date
07/24/2006
Last updated
07/08/2007
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