| NPI | 1427433135 |
|---|---|
| Other Name | HUMANA PHYSICIAN GROUP |
| Doing Business As | CONVIVA CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JESSICA MARIE 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 |