Search icon

MDLIVE MEDICAL GROUP, P.A. - Florida Company Profile

Headquarter
Company claim

Is this your business?

Get access!

Company Details

Entity Name: MDLIVE MEDICAL GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Oct 2009 (16 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 17 Jul 2012 (13 years ago)
Document Number: P09000087043
FEI/EIN Number 270982413
Address: 3350 SW 148th Avenue Suite 300, Miramar, FL, 33027, US
Mail Address: 3350 SW 148th Avenue Suite 300, Miramar, FL, 33027, US
ZIP code: 33027
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
000-284-085
State:
ALABAMA
Type:
Headquarter of
Company Number:
1116044
State:
CONNECTICUT
Type:
Headquarter of
Company Number:
CORP_74137539
State:
ILLINOIS
Type:
Headquarter of
Company Number:
1024432
State:
MISSISSIPPI
Type:
Headquarter of
Company Number:
001750886
State:
RHODE ISLAND
RHODE ISLAND profile:
Type:
Headquarter of
Company Number:
802d7be0-db89-e811-9161-00155d0deff0
State:
MINNESOTA
Type:
Headquarter of
Company Number:
20131345825
State:
COLORADO
Type:
Headquarter of
Company Number:
600298
State:
IDAHO

Key Officers & Management

Name Role Address
Brewer Thomas FMD Director 3350 SW 148th Avenue, Suite 300, Miramar, FL, 33027
- Agent -

National Provider Identifier

NPI Number:
1154039295
Certification Date:
2022-11-04

Authorized Person:

Name:
MERRY SCHUMACHER
Role:
SR. DIRECTOR PROVIDER SERVICES
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
104100000X - Social Worker
Is Primary:
No
Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
No
Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-04-09 3350 SW 148th Avenue Suite 300, Miramar, FL 33027 -
CHANGE OF MAILING ADDRESS 2020-04-09 3350 SW 148th Avenue Suite 300, Miramar, FL 33027 -
REGISTERED AGENT NAME CHANGED 2015-07-02 COGENCY GLOBAL INC. -
REGISTERED AGENT ADDRESS CHANGED 2015-07-02 115 NORTH CALHOUN ST., STE 4, TALLAHASSEE, FL 32301 -
AMENDMENT AND NAME CHANGE 2012-07-17 MDLIVE MEDICAL GROUP, P.A. -

Documents

Name Date
ANNUAL REPORT 2025-02-11
ANNUAL REPORT 2024-04-08
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-04-29
AMENDED ANNUAL REPORT 2020-06-26
ANNUAL REPORT 2020-04-09
ANNUAL REPORT 2019-03-27
AMENDED ANNUAL REPORT 2018-11-16
AMENDED ANNUAL REPORT 2018-11-09

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Jul 2025

Sources: Florida Department of State