NPI | 1972842664 |
---|---|
Doing Business As | CONVIVA CARE CENTER |
Entity Type | Organization |
Authorized Contact | GEMMA ROSELLO VP 305-500-2000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2013-01-31 |
Last Update Date | 2020-10-19 |