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 1982278297

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

601 N Flamingo Rd Ste 304
Pembroke Pines, FL 33028-1010
Phone: (954) 433-3114
Fax: (954) 433-0872
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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 number1982278297
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationConviva Medical Center Management LLC
Authorized official Ofelia Burgos — Director · (305) 500-2000
Other names Conviva Memorial West; Conviva Memorial West
NPI enumeratedMay 20, 2021
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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