Active NPI
Mdlive Medical Group (NC), P.C.
- Internal Medicine Physician
- Miramar, FL
National Provider Identifier
1245093707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MDLIVE MEDICAL GROUP (NC), P.C.
- Practice address
- 3350 SW 148TH Ave Ste 300
Miramar, FL 33027-3259 - Phone
- (800) 400-6354
- NPI assigned
- Feb 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Merry Schumacher
- Title
- Sr. Director Provider Services
- Phone
- (800) 400-6354
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
3350 SW 148TH Ave Ste 300
Miramar, FL 33027-3259
Mailing address
3350 SW 148TH Ave Ste 300
Miramar, FL 33027-3259
National Provider Directory
National Provider Directory- Tax ID family
- Mdlive Medical Group NC PC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dermatology Physician
- Miramar, FL
- NPI 1194588418
-
- Psychiatry Physician
- Miramar, FL
- NPI 1811750136
-
- Family Medicine Physician
- Miramar, FL
- NPI 1871966531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1245093707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 SW 148TH AVE STE 300",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 SW 148TH AVE STE 300",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273259",
"telephone_number": "800-400-6354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDLIVE MEDICAL GROUP (NC), P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-01-31",
"status": "A",
"authorized_official_last_name": "SCHUMACHER",
"authorized_official_first_name": "MERRY",
"authorized_official_title_or_position": "SR. DIRECTOR PROVIDER SERVICES",
"authorized_official_telephone_number": "800-400-6354"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.