NPI | 1992371694 |
---|---|
Other Name | CONVIVA NW 183RD |
Entity Type | Organization |
Authorized Contact | KEVIN MERIWETHER Division President 305-500-2000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
208D00000X General Practice | |
Enumeration Date | 2021-06-02 |
Last Update Date | 2024-06-21 |