Organization
TIDALHEALTH SPECIALTY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMIN OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
1310 BELMONT AVE STE 302, SALISBURY, MD 21804-4506
(410) 912-6795
Mailing address
PO BOX 825461, PHILADELPHIA, PA 19182-5461
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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