Mdlive Medical Group

LBN: Mdlive Medical Group De Pa
Mdlive Medical Group is an health care organization with primary practice located at 3350 Sw 148Th Ave Ste 300 , Miramar FL 33027-3259. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mdlive Medical Group De Pa can be contacted via phone (800) 400-6354, or through Schumacher, Merry via phone (800) 400-6354.

Contact Information

Primary practice address
3350 Sw 148Th Ave Ste 300 Miramar FL 33027-3259
Phone: (800) 400-6354
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schumacher, Merry
Phone: (800) 400-6354

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1992178115
LBN Legal business name Mdlive Medical Group De Pa
DBA Doing business as Mdlive Medical Group
Authorized official Schumacher, Merry
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2015
Last updated Oct 20th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992178115 NPPES
Arizona MEDICAID 335824

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