NPI 1700765633

Tidalhealth Specialty Care, LLC

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Millsboro, DE

Practice location

Address: 30265 Commerce Dr Unit 103, Millsboro, DE 19966-3594
Phone: (302) 297-2598
Mailing address: PO Box 825461, Philadelphia, PA 19182-5461

Authorised official

Name: William Pelot
Title: Chief Administrator Officer
Phone: (410) 543-7497

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Delaware →

Registry record

NPI: 1700765633
Entity type: Organization
NPI issued: 27 Aug 2025
Record last updated: 27 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.