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CONVIVA BOCA RATON
NPI 1083298046
Internal Medicine in Boca Raton, FL

Active since May 06, 2021CLIA 10D1030204 · Waiver
2900 N MILITARY TRL STE 200, BOCA RATON, FL 33431(561) 241-0025(877) 868-0952 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2022, May 6, 2021 (2 updates tracked since 2021).

About Conviva Boca Raton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONVIVA BOCA RATON (NPI 1083298046) is a healthcare organization registered as an internal medicine in Boca Raton, Florida and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kevin Meriwether, President, as its authorized official.

NPPES Registry Identity

NPI1083298046
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC
Location Address2900 N MILITARY TRL STE 200Boca Raton, FL 33431-6308
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(561) 241-0025
Fax(877) 868-0952
Organization SubpartYes
Authorized OfficialKevin MeriwetherPresident · (305) 500-2000
Enumeration DateMay 6, 2021
Last NPPES UpdateMay 20, 20242 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
✔ NPI 1083298046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
2900 N MILITARY TRL STE 200, Boca Raton, FL 33431
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Other Names 1

Other NameConviva Boca Raton

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1030204

Conviva Medical Center Management LLC Dba Conviva Care Center · Boca Raton, FL
Active · expires Aug 31, 2026
CLIA Number10D1030204
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Tarek Eid
Laboratory Phone(561) 896-9538
Laboratory LocationConviva Medical Center Management LLC Dba Conviva Care Center2900 N Military Trl Ste 200, Boca Raton, FL 33431
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN RIOS MD
Family Medicine
2900 N MILITARY TRL STE 200
BOCA RATON, FL 33431
Palm Beach County (561) 241-0025
MRS. MIRNA L VILLATORO FNP-BC
Family Medicine
2900 N MILITARY TRL STE 200
BOCA RATON, FL 33431
Palm Beach County (561) 795-2878
DEVORAH WEINER APRN FNP-BC
Nurse Practitioner (Family)
2900 N MILITARY TRL STE 200
BOCA RATON, FL 33431
Palm Beach County (561) 241-0025
TAREK ISMAIL EID MD
Internal Medicine (Geriatric Medicine)
2900 N MILITARY TRL STE 200
BOCA RATON, FL 33431
Palm Beach County (561) 241-0025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conviva Medical Center Management LLC's NPI number?

The NPI number for Conviva Medical Center Management LLC is 1083298046. It was assigned to this organization in the NPPES registry on May 6, 2021. The provider is also known as Conviva Boca Raton.

Where is Conviva Medical Center Management LLC located?

Conviva Medical Center Management LLC is located at 2900 N Military Trl Ste 200, Boca Raton, FL 33431. The listed phone number is (561) 241-0025.

What is Conviva Medical Center Management LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Conviva Medical Center Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1030204) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Conviva Medical Center Management LLC was last updated on May 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.