NPI | 1174914006 |
---|---|
Doing Business As | CONVIVA CARE CENTER |
Entity Type | Organization |
Authorized Contact | GEMMA ROSELLO VP Operations 305-500-2000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2015-02-13 |
Last Update Date | 2020-01-22 |