Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pat T. Tidwell MD PA

Organization Family Medicine Physician · NPI 1093086563

Pat T. Tidwell MD PA is a Family Medicine Physician in Niceville, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4554 Highway 20 E
Niceville, FL 32578
Phone: (850) 678-6735
Fax: (850) 678-8078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Health Service Clinic/Center Taxonomy 261QH0100X · Licence ME30890 (FL)

Record details

NPI number1093086563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pat Tidwell — President · (850) 678-6735
NPI enumeratedJanuary 16, 2012
Last updated in NPPESDecember 12, 2018
Mailing address4554 Highway 20 East, Niceville, FL 32578

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