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 provides Family Medicine Physician services 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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