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 1659088052

Conviva Medical Center Management LLC is a Family Medicine Physician in Fort Lauderdale, Florida. Registered with an NPI since 2022.

In the registry since
2022
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

2020 NE 48th Ct
Fort Lauderdale, FL 33308-4522
Phone: (954) 637-1168
Fax: (954) 568-1330
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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 number1659088052
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationConviva Medical Center Management LLC
Authorized official Kevin Meriwether — President · (305) 500-2000
Other names Conviva Coral Ridge; Conviva Coral Ridge
NPI enumeratedNovember 4, 2022
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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