Provider Demographics
NPI:1760430425
Name:MAGEE, KRISTY J (MD)
Entity Type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:J
Last Name:MAGEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5300 SR 46 STE 2
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-9333
Mailing Address - Country:US
Mailing Address - Phone:407-688-4251
Mailing Address - Fax:407-322-2507
Practice Address - Street 1:5300 SR 46 STE 200
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-9333
Practice Address - Country:US
Practice Address - Phone:407-688-4251
Practice Address - Fax:407-322-2507
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88578207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7054656OtherAETNA
FL562499046OtherUNITED HEALTHCARE
FL7712437OtherCIGNA
FL18132OtherFHHS
FL297960OtherAVMED
FL64363OtherBCBS
FLI29638Medicare UPIN