# METCARE OF FLORIDA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** METROPOLITAN HEALTH NETWORKS, INC
- **Other names:** Conviva Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134504855
- **Legal business name:** METROPOLITAN HEALTH NETWORKS, INC
- **Authorized official:** JESSICA BONETTI (ASSOCIATE DIRECTOR)
- **Authorized official phone:** (305) 500-2000

## Contact information

- **Practice address:** 3641 CLYDE MORRIS BLVD, SUITE 100, PORT ORANGE, FL 32129-2357
- **Practice address phone:** (305) 500-2114
- **Practice address fax:** (305) 370-6024
- **Mailing address:** 6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
- **Mailing address phone:** (305) 500-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2015
- **Last updated:** 08/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CX415B | MEDICARE PTAN | FL |