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

Conviva Medical Center Management LLC

Organization Family Medicine Physician · NPI 1104490507

Conviva Medical Center Management LLC is a Family Medicine Physician in Palm Beach Gardens, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9121 N Military Trl Ste 111
Palm Beach Gardens, FL 33410-5985
Phone: (561) 626-7604
Fax: (561) 626-1506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1104490507
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationConviva Medical Center Management LLC
Authorized official Kevin Meriwether — President · (305) 500-2000
Other names Conviva Palm Beach Gardens; Conviva Palm Beach Gardens
NPI enumeratedMay 19, 2021
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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