Organization
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Active
Other names
Conviva Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL GARCIA (BILLING DEPARTMENT)
(863) 399-3251
Entity
Organization
Contact information
Practice address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
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
01/22/2007
Last updated
11/07/2025
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