Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Convenient Practitioner Services PA

Organization Family Medicine Physician · NPI 1063656155

Convenient Practitioner Services PA provides Family Medicine Physician services in Davie, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10641 SW 37th Pl
Davie, FL 33328-1310 Not confirmed with CMS for 17 years — call before visiting
Phone: (954) 861-7522
Fax: (954) 916-9436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ARNP1737192 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence ARNP1737192 (FL)

Record details

NPI number1063656155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Igdalis Roldan Christen — President · (954) 861-7522
NPI enumeratedApril 21, 2009
Last updated in NPPESApril 21, 2009
Mailing address10641 Sw 37th Pl, Davie, FL 33328-1310

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