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

Mdlive Medical Group Nj LLC

Organization Dermatology Physician · NPI 1710694146

Mdlive Medical Group Nj LLC is a Dermatology Physician in Miramar, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3350 SW 148th Ave Ste 300
Miramar, FL 33027-3259
Phone: (800) 400-6354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1710694146
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMdlive Medical Group Nj LLC
Authorized official Merry Schumacher — Sr. Director Provider Services · (800) 400-6354
NPI enumeratedNovember 4, 2022
Last updated in NPPESNovember 4, 2022
Certification dateNovember 4, 2022
Mailing address3350 Sw 148th Ave Ste 300, Miramar, FL 33027-3259

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