Organization
TIDALHEALTH SPECIALTY CARE, LLC
Active
Parent organization
TIDALHEALTH SPECIALTY CARE, LLC
Other names
TidalHealth Pediatric Subspecialty Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIDALHEALTH SPECIALTY CARE, LLC
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATIVE OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 546-6400
Mailing address
PO BOX 2498, SALISBURY, MD 21802-2498
(410) 546-6400
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
07/22/2025
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