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 1982278230

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

5238-16 Norwood Ave
Jacksonville, FL 32208-5005
Phone: (904) 861-1222
Fax: (904) 861-2688
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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 number1982278230
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationConviva Medical Center Management LLC
Authorized official Kevin Meriwether — Division President · (305) 500-2000
Other names Conviva Gateway; Conviva Gateway
NPI enumeratedMay 19, 2021
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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