Conviva Medical Center Management LLC

NPI #1326863184 in Brandon, Florida

Provider Information

NPI Number: 1326863184
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: Nov 18, 2024
Last Updated: Nov 18, 2024

Practice Location

Address: 500 VONDERBURG DR STE 210W
City: Brandon
State: Florida
ZIP Code: 33511-5977
Phone: (813) 662-3777

Authorized Official

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

Specialties & Taxonomy Codes

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

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