Organization
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Active
Parent organization
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Other names
Conviva N Central Boca
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
9980 CENTRAL PARK BLVD N STE 126, BOCA RATON, FL 33428-1703
(561) 369-7137
(561) 405-6265
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
05/18/2022
Last updated
05/21/2024
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