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1649228271
MICHAEL A. TIDWELL
MIAMI, FL
NPI
1649228271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: FL ME60647)
Enumeration Date
2006-05-05
Last Update Date
2008-09-24
Business Address
-- MICHAEL A. TIDWELL MD
3100 S.W. 62 AVE
MIAMI, FL 33155-3009
Phone number: 305-662-8366
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Mailing Address
-- MICHAEL A. TIDWELL MD
P.O. BOX 557367
MIAMI, FL 33255
Phone number: 786-624-5845
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