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NPI 1487467742 · live from the CMS NPI Registry

Tidalhealth Specialty Care, LLC

Internal Medicine, Cardiovascular Disease in Seaford, DE. National Provider Identifier 1487467742, active.

NPI record

NPI1487467742 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine, Cardiovascular Disease 207RC0000X
Practice location801 Middleford Rd, Seaford, DE 19973
Practice phone302-629-6611
Mailing addressPo Box 825461, Philadelphia, PA 19182
EnumeratedJanuary 30, 2025
Last updatedJuly 22, 2025
Authorized officialWilliam Pelot, Chief Administrative Officer
Other namesTidalhealth Cardiology

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine, Cardiovascular Disease primary207RC0000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.