CLINIC BY THE SEA LLC NPI 1477561306

NPI Information

NPI: 1477561306
Provider Name: CLINIC BY THE SEA LLC
Classification: Internal Medicine - 207RC0000X
Specialization: Cardiovascular Disease
Entity Type: Organization
CLIA Number: 08D2039559
Address: 16295 WILLOW CREEK RD
LEWES, DE
ZIP 19958
Phone: (302) 644-0999

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NPI Details

CLINIC BY THE SEA LLC is a cardiovascular disease internal medicine in Lewes, DE. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CLINIC BY THE SEA LLC NPI is 1477561306. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

16295 WILLOW CREEK RD
LEWES, DE
ZIP 19958-614
Phone: (302) 644-0999
Fax: (302) 644-3099

The provider's authorized official is Georges A Dahr .
The authorized official title is Co President and has the following contact phone number (302) 644-0999.

The CLIA number assigned to this NPI record is 08D2039559 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 9/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	C1-0005201	DELAWARE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1000015445	MEDICAID	DELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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