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 1104688548

Conviva Medical Center Management LLC is a Family Medicine Physician in Fort Pierce, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

1215 S 25th St
Fort Pierce, FL 34947-4702
Phone: (772) 837-6918
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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 number1104688548
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationConviva Medical Center Management LLC
Authorized official Kevin Meriwether — President · (305) 500-2000
Other names Conviva Fort Pierce; Conviva Fort Pierce
NPI enumeratedJanuary 30, 2024
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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