Provider Demographics
NPI:1255316279
Name:MCKEE, SANDERS B (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDERS
Middle Name:B
Last Name:MCKEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22901 PANAMA CITY BEACH PKWY
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32413-1157
Mailing Address - Country:US
Mailing Address - Phone:850-230-2700
Mailing Address - Fax:850-230-2725
Practice Address - Street 1:22901 PANAMA CITY BEACH PKWY
Practice Address - Street 2:
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32413-1157
Practice Address - Country:US
Practice Address - Phone:850-230-2700
Practice Address - Fax:850-230-2725
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 101137207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080151618OtherRAILROAD MEDICARE
F02991Medicare UPIN