NPI | 1811983778 |
---|---|
Doing Business As | CONVIVA CARE CENTER |
Entity Type | Organization |
Authorized Contact | GEMMA ROSELLO Vice President 305-500-2109 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2005-09-26 |
Last Update Date | 2020-01-22 |