Provider Type Icon

MDLIVE MEDICAL GROUP WI SC NPI 1568893428


NPI Information

NPI: 1568893428
Provider Name: MDLIVE MEDICAL GROUP WI SC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
13630 NW 8TH ST STE 205
SUNRISE, FL
ZIP 33325
Phone: (855) 332-4499
Get Directions

MDLIVE MEDICAL GROUP WI SC is an emergency medicine in Sunrise, FL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MDLIVE MEDICAL GROUP WI SC NPI is 1568893428. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13630 NW 8TH ST STE 205
SUNRISE, FL
ZIP 33325-238
Phone: (855) 332-4499
Fax: (231) 932-4133

The provider's authorized official is Steve Motarjeme .
The authorized official title is Managing Partner and has the following contact phone number (855) 332-4499.

The enumeration date for this NPI number is 12/3/2013 and was last updated on 12/3/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2103T00000XPsychologistNo
3104100000XSocial WorkerNo
4207Q00000XFamily MedicineNo
5207R00000XInternal MedicineNo
6208D00000XGeneral PracticeNo
7207P00000XEmergency MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.