CONVIVA MEDICAL CENTER MANAGEMENT LLC
NPI 1326863184
Internal Medicine in Brandon, 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 November 18, 2024CLIA 10D2313457 · Waiver

500 VONDERBURG DR STE 210W, BRANDON, FL 33511(813) 662-3777 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Conviva Medical Center Management Llc NPPES

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

CONVIVA MEDICAL CENTER MANAGEMENT LLC (NPI 1326863184) is a healthcare organization registered as an internal medicine in Brandon, Florida and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Kevin Meriwether, President, as its authorized official.

NPPES Registry Identity

NPI1326863184

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC

Location Address500 VONDERBURG DR STE 210WBrandon, FL 33511-5977

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

Phone(813) 662-3777

Organization SubpartYes

Authorized OfficialKevin MeriwetherPresident · (305) 500-2000

Enumeration DateNovember 18, 2024

NPPES CertifiedNovember 18, 2024

✔ NPI 1326863184 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

500 VONDERBURG DR STE 210W, Brandon, FL 33511

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Other Names 1

Other NameConviva Brandon

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 10D2313457

Conviva Medical Center Management, LLC Dba Conviva Senior Primary Care · Brandon, FL

Active · expires Oct 30, 2026

CLIA Number10D2313457

Laboratory TypePhysician Office

Certificate Effective DateOctober 31, 2024

Certificate Expiration DateOctober 30, 2026

Laboratory DirectorSanthini Namagiri

Laboratory Phone(813) 662-3777

Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Senior Primary Care1920 West Brandon Blvd, Brandon, FL 33511

CLIA data matches this NPI record on: Name Phone

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

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 1326863184. It was assigned to this organization in the NPPES registry on November 18, 2024. The provider is also known as Conviva Brandon.

Where is Conviva Medical Center Management LLC located?

Conviva Medical Center Management LLC is located at 500 Vonderburg Dr Ste 210W, Brandon, FL 33511. The listed phone number is (813) 662-3777.

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 10D2313457) is associated with this NPI, valid through October 30, 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 November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.