CONVIVA SOUTH TAMPA
NPI 1194391896
Internal Medicine in Tampa, FL

Active since June 02, 2021CLIA Certified · 3 labs
3854 BRITTON PLZ, TAMPA, FL 33611(813) 837-2814(813) 839-4336 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, Jun 2, 2021 (2 updates tracked since 2021).

About Conviva South Tampa NPPES

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

CONVIVA SOUTH TAMPA (NPI 1194391896) is a healthcare organization registered as an internal medicine in Tampa, Florida and active in the NPI registry since June 2021. The organization holds 3 active CLIA laboratory certificates and lists Kevin Meriwether, President, as its authorized official.

NPPES Registry Identity

NPI1194391896
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC
Location Address3854 BRITTON PLZTampa, FL 33611-1406
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Fax(813) 839-4336
Organization SubpartYes
Authorized OfficialKevin MeriwetherPresident · (305) 500-2000
Enumeration DateJune 2, 2021
Last NPPES UpdateMay 20, 20242 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
NPI 1194391896 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
3854 BRITTON PLZ, Tampa, FL 33611

Other Names 1

Other NameConviva South Tampa

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 3

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 10D0875912

Conviva Medical Center Management LLC Dba Conviva Care Center · Tampa, FL
Active · expires Sep 2, 2027
CLIA Number10D0875912
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2025
Certificate Expiration DateSeptember 2, 2027
Laboratory DirectorShahnaz Ann Kazi
Laboratory Phone(813) 837-2814
Laboratory LocationConviva Medical Center Management LLC Dba Conviva Care Center3854 Britton Plaza, Tampa, FL 33611
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2270425

Conviva Medical Center Management, LLC Dba Conviva Senior Primary Care · Tampa, FL
Active · expires Oct 13, 2026
CLIA Number10D2270425
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorBeatriz Uribazo Odio
Laboratory Phone(813) 284-7903
Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Senior Primary Care6710 Hanley Rd, Tampa, FL 33634
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2117577

Conviva Medical Center Management, LLC Dba Conviva Care Center · Tampa, FL
Active · expires Aug 18, 2026
CLIA Number10D2117577
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorBeatriz Uribazo Odio
Laboratory Phone(813) 868-8997
Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Care Center7867 Palm River Road, Tampa, FL 33619
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Adult Health)
3854 BRITTON PLZ
TAMPA, FL 33611
Family Medicine
3854 BRITTON PLZ
TAMPA, FL 33611
Family Medicine
3854 BRITTON PLZ
TAMPA, FL 33611

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 1194391896. It was assigned to this organization in the NPPES registry on June 2, 2021. The provider is also known as Conviva South Tampa.

Where is Conviva Medical Center Management LLC located?

Conviva Medical Center Management LLC is located at 3854 Britton Plz, Tampa, FL 33611. The listed phone number is (813) 837-2814.

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. 3 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.