Organization
MDLIVE MEDICAL GROUP (NC), P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERRY SCHUMACHER (SR DIRECTOR PROVIDER SERVICES)
(800) 400-6354
Entity
Organization
Contact information
Practice address
3350 SW 148TH AVE STE 300, MIRAMAR, FL 33027-3259
(800) 400-6354
Mailing address
3350 SW 148TH AVE STE 300, MIRAMAR, FL 33027-3259
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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