Organization · Type 2 NPI

Conviva Medical Center Management LLC

Family Medicine Physician · Pembroke Pines, FL

NPI number 1942947346 Active

Practice location

12177 Pembroke Rd
Pembroke Pines, FL 33025-1727

Call (954) 436-0555 Map

Fax (954) 436-0108

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
General Practice Physician	208D00000X	None 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.

10 other providers at this address

Other family medicine physician providers in Pembroke Pines

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NPI record

NPI: 1942947346
Entity type: Organization (Type 2)
Issued: May 17, 2022
Last updated: Jun 21, 2024
Status: Active
Subpart: Yes of Conviva Medical Center Management LLC

Other names

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Conviva South Pembroke · other name
Conviva South Pembroke · other name

Authorized official

Kevin Meriwether
Division President
(305) 500-2000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1942947346

Conviva Medical Center Management LLC's National Provider Identifier is 1942947346, issued on May 17, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Jun 21, 2024.