Organization
SANDRA DEE MD LLC
Active
Other names
Stages Pediatric Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA DEE MD (PHYSICIAN)
(386) 917-0075
Entity
Organization
Contact information
Practice address
947 TOWN CENTER DR, ORANGE CITY, FL 32763-8361
(386) 917-0075
(386) 917-0655
Mailing address
947 TOWN CENTER DR, ORANGE CITY, FL 32763-8361
(386) 917-0075
(386) 917-0655
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME96074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277419400
—
FL
01
—
ME96074
STATE LICENSE
FL
Enumeration date
11/23/2009
Last updated
09/07/2021
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