NPI | 1659088052 |
---|---|
Doing Business As | CONVIVA CORAL RIDGE |
Entity Type | Organization |
Authorized Contact | KEVIN MARIE MERIWETHER President 305-500-2000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
208D00000X General Practice | |
Enumeration Date | 2022-11-04 |
Last Update Date | 2024-05-21 |