NPI | 1215510896 |
---|---|
Other Name | CONVIVA QUAIL ROOST |
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 | 2021-05-03 |
Last Update Date | 2024-05-20 |