NPI | 1154029122 |
---|---|
Doing Business As | CONVIVA CARE CENTER |
Entity Type | Organization |
Authorized Contact | KEVIN MERIWETHER President 305-500-2000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
208D00000X General Practice | |
Enumeration Date | 2023-02-20 |
Last Update Date | 2024-05-20 |