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MDLIVE MEDICAL GROUP DE PA NPI 1992178115


NPI Information

NPI: 1992178115
Provider Name: MDLIVE MEDICAL GROUP DE PA

Doing Business As: MDLIVE MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3350 SW 148TH AVE STE 300
MIRAMAR, FL
ZIP 33027
Phone: (800) 400-6354
Get Directions

MDLIVE MEDICAL GROUP DE PA is a family medicine in Miramar, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MDLIVE MEDICAL GROUP DE PA NPI is 1992178115. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mdlive Medical Group.

The provider's business location address is:

3350 SW 148TH AVE STE 300
MIRAMAR, FL
ZIP 33027-259
Phone: (800) 400-6354

The provider's authorized official is Merry Schumacher .
The authorized official title is Sr. Director Provider Services and has the following contact phone number (800) 400-6354.

The enumeration date for this NPI number is 11/10/2015 and was last updated on 10/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2104100000XSocial WorkerNo
3207N00000XDermatologyNo
4207P00000XEmergency MedicineNo
5207R00000XInternal MedicineNo
6207RS0010XInternal MedicineSports MedicineNo
7208000000XPediatricsNo
8207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1335824MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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