Tidwell, Lillie
Tidwell, Lillie is an sole proprietor health care provider with primary practice located at 2332 Isle Royale Ct Se , Winter Haven FL 33880-4325. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Tidwell, Lillie can be contacted via phone (863) 595-6212.Contact Information
Primary practice address
2332 Isle Royale Ct Se
Winter Haven FL 33880-4325
Phone: (863) 595-6212
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X | 104129000 | Florida |
Profile Details
| NPI number | 1639715121 |
|---|---|
| LBN Legal business name | Tidwell, Lillie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2019 |
| Last updated | Nov 3rd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639715121 | NPPES |
| Florida | MEDICAID | 104851900 | |
| Florida | MEDICAID | 104129000 |
Popular Providers
-
Ortiz-Nieves, Cecilet
2431 Aloma Ave Ste 249, Winter Park FL 32792-2541 -
Carr, Vanessa
2416 4Th St Ne Apt A , Winter Haven FL 33881-1614 -
Scott, Chrisana Latae
2995 Eagle Nest View Dr , Winter Haven FL 33881-3220 -
Mcgee, Demetria L
199 Black Skimmer Lane , Winter Haven FL 33880 -
Miller, Davida Nicole
1651 Marshall Rd Sw , Winter Haven FL 33880-1955 -
Sillas, Tranettea
5863 Royal Hills Cir , Winter Haven FL 33881-7700 -
Scannelli, Mary
322 4Th St Nw , Winter Haven FL 33881-4671 -
Reddick, Tori Vontrese
4720 Magnolia Preserve Ave , Winter Haven FL 33880-5027