Organization
MDLIVE MEDICAL GROUP WI SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE MOTARJEME MD (MANAGING PARTNER)
(855) 332-4499
Entity
Organization
Contact information
Practice address
13630 NW 8TH ST STE 205, SUNRISE, FL 33325-6238
(855) 332-4499
(231) 932-4133
Mailing address
4350 FOWLER ST STE 21, FORT MYERS, FL 33901-2616
(855) 332-4499
(231) 932-4133
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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