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Contact Information

TIDALHEALTH SPECIALTY CARE, LLC
30265 COMMERCE DR UNIT 103
MILLSBORO, DE19966-3594
 Phone: 302-297-2598
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TIDALHEALTH SPECIALTY CARE LLC · (Female)

NPI Number 1700765633
Status Active
Credentials
Entity Individual
Enumeration date 08/27/2025
Last updated 08/27/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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