Organization · Type 2 NPI

Conviva Medical Center Management LLC

Family Medicine Physician · Miami Lakes, FL

NPI number 1174480735 Active

Practice location

5801 Miami Lakes Dr
Miami Lakes, FL 33014-2401

Call (786) 756-7180 Map

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
General Practice Physician 208D00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Another provider at this address

Other family medicine physician providers in Miami Lakes

See all in Miami Lakes →

About NPI 1174480735

Conviva Medical Center Management LLC's National Provider Identifier is 1174480735, issued on Jan 6, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Miami Lakes, FL. The record was last updated on Jan 6, 2026.