Organization
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Active
Parent organization
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Other names
Conviva Boynton Central
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Authorized official
KEVIN MERIWETHER (PRESIDENT)
(305) 500-2000
Entity
Organization
Contact information
Practice address
3795 W BOYNTON BEACH BLVD STE A, BOYNTON BEACH, FL 33436-4502
(561) 369-4255
(561) 738-3004
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
05/20/2022
Last updated
11/18/2024
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