NPI 1154380483

Donald W Tice, DO

Practitioner Family Medicine Physician Ponte Vedra, FL

Practice location

Address: 141 Hilden Rd STE 201, Ponte Vedra, FL 32081-8400
Phone: (904) 825-1941
Fax: (904) 390-7460
Mailing address: PO Box 746638, Atlanta, GA 30374-6638

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence OS19428 (FL)

Other Family Medicine providers in Florida →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence D01509 (NV)

Registry record

NPI: 1154380483
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Mar 2006
Record last updated: 5 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.