Organization · Type 2 NPI

Tidalhealth Primary Care, LLC

Family Medicine Physician · Millsboro, DE

NPI number 1760201032 Active

Practice location

30265 Commerce Dr Unit 206
Millsboro, DE 19966-3595

Call (302) 732-8400 Map

Mailing address

PO Box 825474
Philadelphia, PA 19182-5474

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7 other providers at this address

Other family medicine physician providers in Millsboro

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NPI record

NPI: 1760201032
Entity type: Organization (Type 2)
Issued: Oct 4, 2024
Last updated: Jul 22, 2025
Status: Active

Other names

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Tidalhealth Primary Care · other name
Tidalhealth Primary Care · other name

Authorized official

William Pelot
Chief Administrator Officer
(410) 543-7497

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760201032

Tidalhealth Primary Care, LLC's National Provider Identifier is 1760201032, issued on Oct 4, 2024. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Millsboro, DE. The record was last updated on Jul 22, 2025.