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Organization
TIDALHEALTH SPECIALTY CARE, LLC
Active
Organization
TIDALHEALTH SPECIALTY CARE, LLC
Active
Other names
TidalHealth Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATIVE OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
30265 COMMERCE DR UNIT 103, MILLSBORO, DE 19966-3594
(302) 990-3280
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7272
(410) 912-6386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/01/2009
Last updated
07/22/2025
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