MEDICARE: MCKEE FAMILY PRACTICE PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1518112523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCKEE FAMILY PRACTICE PA

Provider Business Mailing Address
First Line	:	7000 SPY GLASS CT.
Second Line	:	SUITE 300
City	:	VIERA
State	:	FL
Zip	:	32940-8288
Country	:	US
Telephone Number	:	321-752-7555
Fax Number	:	321-757-9988

Provider Business Practice Location Address
First Line	:	7000 SPY GLASS CT.
Second Line	:	SUITE 300
City	:	VIERA
State	:	FL
Zip	:	32940-8288
Country	:	US
Telephone Number	:	321-752-7555
Fax Number	:	321-757-9988

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MR. JOHN EDWARD DIONNE
Credential	:
Telephone Number	:	321-752-7555

Provider Enumeration Date	:	11/19/2008
Last Update Date	:	11/24/2008

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Directions to “MCKEE FAMILY PRACTICE PA ” Practice Location

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