Conviva Medical Center Management LLC

NPI #1770157083 in Coconut Creek, Florida

Provider Information

NPI Number: 1770157083
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: May 20, 2021
Last Updated: Jul 9, 2024

Practice Location

Address: 4828 COCONUT CREEK PARKWAY
City: Coconut Creek
State: Florida
ZIP Code: 33063-3900
Phone: (954) 971-2266

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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