MLV LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

MLV LLC

Practice address

516 Venezia Pkwy
Venice, FL 34285-2836

Phone

(941) 237-0222

Fax

(208) 330-2458

NPI assigned

Jan 16, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Megan Ley Verdoni, PA-C

Title

Co-Owner

Phone

(941) 237-0222

Specialties & licenses 1

Addresses

Other names 1

• ER Liaison Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1053857938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 VENEZIA PKWY",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852836",
            "telephone_number": "941-237-0222",
            "fax_number": "208-330-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 VENEZIA PKWY",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852836",
            "telephone_number": "941-237-0222",
            "fax_number": "208-330-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "VERDONI",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "LEY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "941-237-0222",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ER Liaison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lona K Mitchell
• Nasstasia M. Mitchell, BS
• Richard Paul Mitchell
• Robert Parker Mitchell, DMD
• Staci Lin Mitchell, NP, APRN
• Monarch Lane Enterprises LLC
• Mary Ann Monette, PTA
• Monica K Bedi MD PA
• Monica Walker M.D. PA
• Dianne Louise Moore, OTR

• Medical Physician Assistant in Venice, FL
• Providers in Venice, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.