| Sandra Dee Md Llc | |
|
947 Town Center Dr Orange City FL 32763-8361 | |
| (386) 917-0075 | |
| (386) 917-0655 |
| Full Name | Sandra Dee Md Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 947 Town Center Dr, Orange City, Florida |
| Authorized Official Name and Position | Jocelyn Pua (OFFICE MANAGER) |
| Authorized Official Contact | 8565776888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Dee Md Llc 947 Town Center Dr Orange City FL 32763-8361 Ph: (386) 917-0075 | Sandra Dee Md Llc 947 Town Center Dr Orange City FL 32763-8361 Ph: (386) 917-0075 |
| NPI Number | 1972277333 |
|---|---|
| Provider Enumeration Date | 08/09/2021 |
| Last Update Date | 08/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972277333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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