CONVIVA CARE CENTER
NPI 1154029122
Internal Medicine in Winter Haven, FL

Active since February 20, 2023CLIA Certified · 4 labs
141 E CENTRAL AVE STE 100, WINTER HAVEN, FL 33880(863) 619-5999 Get Directions Write a Review

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

About Conviva Care Center NPPES

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

CONVIVA CARE CENTER (NPI 1154029122) is a healthcare organization registered as an internal medicine in Winter Haven, Florida and active in the NPI registry since February 2023. The organization holds 4 active CLIA laboratory certificates and lists Kevin Meriwether, President, as its authorized official.

NPPES Registry Identity

NPI1154029122
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC
Location Address141 E CENTRAL AVE STE 100Winter Haven, FL 33880-6319
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Organization SubpartYes
Authorized OfficialKevin MeriwetherPresident · (305) 500-2000
Enumeration DateFebruary 20, 2023
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
NPI 1154029122 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
141 E CENTRAL AVE STE 100, Winter Haven, FL 33880

Other Names 1

Doing Business AsConviva Care Center

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 4

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 10D2030943

Conviva Medical Center Management, LLC Dba Conviva Care Center · Winter Haven, FL
Active · expires Oct 6, 2027
CLIA Number10D2030943
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorTabatha L. Rios
Laboratory Phone(863) 619-5999
Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Care Center141 E Central Ave, Suite 100, Winter Haven, FL 33880
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2262338

Conviva Medical Center Management, LLC Dba Conviva Care Center · Lakeland, FL
Active · expires Jun 12, 2028
CLIA Number10D2262338
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorTabatha L. Rios
Laboratory Phone(863) 619-5999
Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Care Center600 El Paseo, Lakeland, FL 33805
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2262344

Conviva Medical Center Management, LLC Dba Conviva Care Center · Tampa, FL
Active · expires Jun 12, 2028
CLIA Number10D2262344
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorShahnaz Ann Kazi
Laboratory Phone(863) 619-5999
Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Care Center8326 N Florida Ave, Tampa, FL 33604
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2100012

Conviva Medical Center Management, LLC Dba Conviva Care Center · Lakeland, FL
Active · expires Aug 5, 2027
CLIA Number10D2100012
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2025
Certificate Expiration DateAugust 5, 2027
Laboratory DirectorTabatha L. Rios
Laboratory Phone(863) 619-5999
Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Care Center3655 Innovation Dr, Lakeland, FL 33812
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 4

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

General Practice
141 E CENTRAL AVE STE 100
WINTER HAVEN, FL 33880
General Practice
141 E CENTRAL AVE STE 100
WINTER HAVEN, FL 33880
Nurse Practitioner (Family)
141 E CENTRAL AVE STE 100
WINTER HAVEN, FL 33880
Nurse Practitioner (Adult Health)
141 E CENTRAL AVE STE 100
WINTER HAVEN, FL 33880

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 1154029122. It was assigned to this organization in the NPPES registry on February 20, 2023. The provider is doing business as Conviva Care Center.

Where is Conviva Medical Center Management LLC located?

Conviva Medical Center Management LLC is located at 141 E Central Ave Ste 100, Winter Haven, FL 33880. The listed phone number is (863) 619-5999.

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 CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.