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

Lillie Tidwell

Individual provider Homemaker · NPI 1639715121

Lillie Tidwell is a Homemaker in Winter Haven, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

2332 Isle Royale Ct SE
Winter Haven, FL 33880-4325
Phone: (863) 595-6212
Show map & directions

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

Specialties & licences

Homemaker (primary) Taxonomy 376J00000X · Licence 104129000 (FL)

Record details

NPI number1639715121
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 20, 2019
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022

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