NPI | 1134504855 |
---|---|
Doing Business As | CONVIVA CARE CENTER |
Entity Type | Organization |
Authorized Contact | JESSICA BONETTI Associate Director 305-500-2000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2015-07-23 |
Last Update Date | 2024-08-19 |