Mdlive Medical Group Nm, LLC

NPI #1174201156 in Miramar, Florida

Provider Information

NPI Number: 1174201156
Entity Type: Organization
Organization Name: Mdlive Medical Group Nm, LLC
Primary Specialty: Dermatology
Enumeration Date: Jul 10, 2023
Last Updated: Jul 10, 2023

Practice Location

Address: 3350 SW 148TH AVE STE 300
City: Miramar
State: Florida
ZIP Code: 33027-3259
Phone: (800) 400-6354

Authorized Official

Name: MERRY SCHUMACHER
Title: SR. DIRECTOR PROVIDER SERVICES
Phone: (800) 400-6354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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