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Organization
MDLIVE MEDICAL GROUP PA
Active
Organization
MDLIVE MEDICAL GROUP PA
Active
Other names
MDLIVE, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SUE-ANN ADRIANS (GP PM)
(945) 275-1345
Entity
Organization
Contact information
Practice address
1571 SAWGRASS CORPORATE PKWY, SUNRISE, FL 33323-2862
(800) 400-6354
Mailing address
PO BOX 5006, HARTFORD, CT 06102-5006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/01/2009
Last updated
05/04/2026
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