Organization
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Active
Parent organization
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Other names
Conviva Coral Ridge
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Authorized official
KEVIN MARIE MERIWETHER (PRESIDENT)
(305) 500-2000
Entity
Organization
Contact information
Practice address
2020 NE 48TH CT, FORT LAUDERDALE, FL 33308-4522
(954) 637-1168
(954) 568-1330
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
11/04/2022
Last updated
05/21/2024
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