Conviva Medical Center Management LLC

NPI #1104688548 in Fort Pierce, Florida

Provider Information

NPI Number: 1104688548
Entity Type: Organization
Organization Name: Conviva Medical Center Management LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CONVIVA MEDICAL CENTER MANAGEMENT LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 30, 2024
Last Updated: May 20, 2024

Practice Location

Address: 1215 S 25TH ST
City: Fort Pierce
State: Florida
ZIP Code: 34947-4702
Phone: (772) 837-6918

Authorized Official

Name: KEVIN MERIWETHER
Title: PRESIDENT
Phone: (305) 500-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
General Practice	208D00000X
Internal Medicine	207R00000X	Primary

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