TIDALHEALTH PHYSICIAN NETWORK, INC.

SEAFORD, DE
NPI1114712692
Other NameTIDALHEALTH IMMEDIATE CARE
Entity TypeOrganization
Authorized ContactWILLIAM PELOT
Chief Administrator Officer
410-543-7497
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2025-04-14
Last Update Date2025-07-22
Business Address
TIDALHEALTH PHYSICIAN NETWORK, INC.
8472 HERRING RUN RD UNIT A
SEAFORD, DE 19973-5763
Phone number: 302-297-2511
Mailing Address
TIDALHEALTH PHYSICIAN NETWORK, INC.
PO BOX 824327
PHILADELPHIA, PA 19182-4327
Phone number: 410-912-6053
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