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 1760056071

Conviva Medical Center Management LLC is a Family Medicine Physician in Lauderdale Lakes, 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4850 W Oakland Park Blvd Ste 148
Lauderdale Lakes, FL 33313-7277
Phone: (954) 735-1200
Fax: (954) 731-8408
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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 number1760056071
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationConviva Medical Center Management LLC
Authorized official Kevin Meriwether — President · (305) 500-2000
Other names Conviva West Oakland; Conviva West Oakland
NPI enumeratedMay 20, 2021
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

Other providers in Lauderdale Lakes