Mdlive Medical Group Il LLC

NPI #1295108777 in Miramar, Florida

Provider Information

NPI Number: 1295108777
Entity Type: Organization
Organization Name: Mdlive Medical Group Il LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 5, 2015
Last Updated: Oct 28, 2022

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
Emergency Medicine	207P00000X
Internal Medicine	207R00000X
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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