Sandra Dee MD LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SANDRA DEE MD LLC

Practice address

947 Town Center Dr
Orange City, FL 32763-8361

Phone

(386) 917-0075

Fax

(386) 917-0655

NPI assigned

Aug 9, 2021

Organization subpart

Yes

Parent organization

SANDRA DEE MD LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jocelyn Pua

Title

Office Manager

Phone

(856) 577-6888

Specialties & licenses 2

Addresses

Other names 1

• Stages Pediatrics Care Doing business as

Tax ID family

Sandra Dee MD LLC2 organizations share this tax ID, including this one

Part of

Sandra Dee MD LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sandra Dee MD LLC

  • Pediatrics Physician
  • Orange City, FL
  • NPI 1477881829
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sandra Dee MD LLC

  • Pediatrics Physician
  • Orange City, FL
  • NPI 1477881829
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra O Dee, MD

  • Pediatrics Physician
  • Orange City, FL
  • NPI 1962474254
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1972277333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 TOWN CENTER DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638361",
            "telephone_number": "386-917-0075",
            "fax_number": "386-917-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 TOWN CENTER DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638361",
            "telephone_number": "386-917-0075",
            "fax_number": "386-917-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA DEE MD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANDRA DEE MD LLC",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "PUA",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-577-6888"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stages Pediatrics Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yadiel Sanchez Padilla, MD
• Aaran Michael Sanders, PHARMD
• Sandhill Ocular Prosthetics LLC
• Neil Sandhu, MD
• Sandra Dee MD LLC
• Renee Sandusky, AGACNP-BC
• Sanford Pediatric Associates PA
• Santa Rosa de Lima Medical PA
• Santiago W Calderon MD PA
• Juan Santiago, M.D.

• Pediatrics Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.