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 1942947346

Conviva Medical Center Management LLC is a Family Medicine Physician in Pembroke Pines, 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

12177 Pembroke Rd
Pembroke Pines, FL 33025-1727
Phone: (954) 436-0555
Fax: (954) 436-0108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1942947346
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationConviva Medical Center Management LLC
Authorized official Kevin Meriwether — Division President · (305) 500-2000
Other names Conviva South Pembroke; Conviva South Pembroke
NPI enumeratedMay 17, 2022
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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