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

Conviva Medical Center Management LLC

Organization Family Medicine Physician · NPI 1336713676

Conviva Medical Center Management LLC is a Family Medicine Physician in North Miami, 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

12615 W Dixie Hwy
North Miami, FL 33161-4803
Phone: (305) 777-3554
Show map & directions

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 number1336713676
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationConviva Medical Center Management LLC
Authorized official Kevin Meriwether — President · (305) 500-2000
Other names Conviva Callahan
NPI enumeratedMay 19, 2021
Last updated in NPPESSeptember 2, 2025
Certification dateMay 22, 2025
Mailing address6101 Blue Lagoon Dr Ste 400, Miami, FL 33126-2051

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