Sandra Dee MD LLC

NPI #1972277333 in Orange City, Florida

Provider Information

NPI Number: 1972277333
Entity Type: Organization
Organization Name: Sandra Dee MD LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SANDRA DEE MD LLC
Primary Specialty: Pediatrics
Enumeration Date: Aug 9, 2021
Last Updated: Aug 9, 2021

Practice Location

Address: 947 TOWN CENTER DR
City: Orange City
State: Florida
ZIP Code: 32763-8361
Phone: (386) 917-0075

Authorized Official

Name: JOCELYN PUA
Title: OFFICE MANAGER
Phone: (856) 577-6888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X
Pediatrics	208000000X	Primary

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