Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mdlive Medical Group De PA

Organization Emergency Medicine Physician · NPI 1245978683

Mdlive Medical Group De PA is an Emergency Medicine Physician in Bloomfield, Connecticut. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 Cottage Grove Rd
Bloomfield, CT 06002-2920
Phone: (800) 400-6354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3350 Sw 148th Ave Ste 300, Miramar, FL 33027-3259 — (800) 400-6354

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1245978683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sue-Ann Adrians — Government Programs Pm · (945) 275-1345
Other names Mdlive Medical Group
NPI enumeratedMay 25, 2022
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address3350 Sw 148th Ave Ste 300, Miramar, FL 33027-3259

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