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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
101Y00000X
Counselor
103T00000X
Psychologist
104100000X
Social Worker
106H00000X
Marriage & Family Therapist
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
01/31/2024
Last updated
01/31/2024
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