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Organization

CONVIVA MEDICAL CENTER MANAGEMENT LLC

Active
Parent organization
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Other names
Conviva Pembroke - N. University
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
460 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-6720
(954) 437-4004
(877) 637-9596
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
05/06/2021
Last updated
05/20/2024
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