Mdlive Medical Group Nj LLC

NPI #1871201921 in Miramar, Florida

Provider Information

NPI Number: 1871201921
Entity Type: Organization
Organization Name: Mdlive Medical Group Nj LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MDLIVE MEDICAL GROUP NJ LLC
Primary Specialty: Psychiatry & Neurology - Psychiatry
Enumeration Date: Nov 8, 2022
Last Updated: Nov 8, 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
Psychologist	103T00000X
Social Worker	104100000X
Marriage & Family Therapist	106H00000X
Counselor	101Y00000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X	Primary

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