Organization
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Active
Parent organization
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Other names
Conviva Coral Gate
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
5643 NW 29TH ST, MARGATE, FL 33063-1531
(954) 979-6900
(866) 245-0079
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
05/20/2021
Last updated
05/21/2024
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