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

Crystal C Tidwell, DO

Individual provider Pediatrics Physician · NPI 1275974909

Crystal C Tidwell, DO is a Pediatrics Physician in Santa Rosa Beach, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

23 Mack Bayou Loop Ste 200
Santa Rosa Beach, FL 32459-2606
Phone: (850) 278-3920
Fax: (850) 278-3919
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence OS14104 (FL)

Record details

NPI number1275974909
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 10, 2013
Last updated in NPPESSeptember 23, 2016
Mailing addressPo Box 2699, Attn: Shmg/Hpe, Pensacola, FL 32513-2699

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