Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Convenient Practitioner Services PA

Organization Family Medicine Physician · NPI 1063656155

Convenient Practitioner Services PA is a Family Medicine Physician 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
Phone: (954) 861-7522
Fax: (954) 916-9436
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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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