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NPI 1881555159 · live from the CMS NPI Registry

Tidalhealth Specialty Care, LLC

Internal Medicine, Cardiovascular Disease in Millsboro, DE. National Provider Identifier 1881555159, active.

NPI record

NPI1881555159 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine, Cardiovascular Disease 207RC0000X
Practice location30265 Commerce Dr Unit 105, Millsboro, DE 19966
Practice phone302-297-2571
Mailing addressPo Box 825461, Philadelphia, PA 19182
EnumeratedNovember 18, 2025
Last updatedNovember 18, 2025
Authorized officialWilliam Pelot, Chief Administrator Officer

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.