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An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Specialty |
261QM2500X | |||
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI # | 1801038260 |
| LBN Legal business name | TIDALHEALTH SPECIALTY CARE, LLC |
| Authorized official | WILLIAM PELOT - (CHIEF ADMINISTRATIVE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/01/2009 |
| Last updated | 07/22/2025 - About 11 months ago |
| Identifiers | n/a |
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TIDALHEALTH SPECIALTY CARE, LLC