CONVIVA PALM BEACH GARDENS
NPI 1104490507
Internal Medicine in Palm Beach Gardens, FL

Q: What is Conviva Medical Center Management LLC's specialty?

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

Active since May 19, 2021CLIA 10D0700096 · Waiver

9121 N MILITARY TRL STE 111, PALM BEACH GARDENS, FL 33410(561) 626-7604(561) 626-1506 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2022, May 19, 2021 (2 updates tracked since 2021).

On this page

About Conviva Palm Beach Gardens NPPES

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

CONVIVA PALM BEACH GARDENS (NPI 1104490507) is a healthcare organization registered as an internal medicine in Palm Beach Gardens, 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

NPI1104490507

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC

Location Address9121 N MILITARY TRL STE 111Palm Beach Gardens, FL 33410-5985

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000

Phone(561) 626-7604

Fax(561) 626-1506

Organization SubpartYes

Authorized OfficialKevin MeriwetherPresident · (305) 500-2000

Enumeration DateMay 19, 2021

Last NPPES UpdateMay 20, 20242 updates tracked since enumeration

NPPES CertifiedMay 20, 2024

✔ NPI 1104490507 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

9121 N MILITARY TRL STE 111, Palm Beach Gardens, FL 33410

Open in Google Maps ↗

Other Names 1

Other NameConviva Palm Beach Gardens

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 10D0700096

Conviva Medical Center Management Dba Conviva Care Center · Palm Beach Gardens, FL

Active · expires Aug 31, 2026

CLIA Number10D0700096

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorDr. Lee Epstein

Laboratory Phone(561) 626-7604

Laboratory LocationConviva Medical Center Management Dba Conviva Care Center9121 N Military Trail Ste 111, Palm Beach Gardens, FL 33410

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

KATHLEEN J LAFFERTY ARNP

Nurse Practitioner (Family)