Organization
TIDALHEALTH SPECIALTY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATOR OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
30265 COMMERCE DR UNIT 105, MILLSBORO, DE 19966-3594
(302) 297-2571
(302) 297-2572
Mailing address
PO BOX 825461, PHILADELPHIA, PA 19182-5461
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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