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

Dr. Dorothy Tisdel, MD

Individual provider General Practice Physician · NPI 1962255794

Dr. Dorothy Tisdel, MD is a General Practice Physician in Eglin AFB, Florida. Licensed in Wisconsin. Registered with an NPI since 2024.

Licensed in
WI
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

307 Boatner Rd
Eglin AFB, FL 32542-1302
Phone: (850) 883-8288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 8649420 (WI)

Record details

NPI number1962255794
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2024
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

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