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CONVIVA MEDICAL CENTER MANAGEMENT LLC
NPI 1457927402
Internal Medicine in Loxahatchee, FL

Active since June 01, 2021CLIA 10D0695601 · Waiver
13475 SOUTHERN BLVD, LOXAHATCHEE, FL 33470(561) 793-1713(888) 217-9051 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Jun 1, 2021 (2 updates tracked since 2021).

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 1457927402) is a healthcare organization registered as an internal medicine in Loxahatchee, Florida and active in the NPI registry since June 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

NPI1457927402
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC
Location Address13475 SOUTHERN BLVDLoxahatchee, FL 33470-9233
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(561) 793-1713
Fax(888) 217-9051
Organization SubpartYes
Authorized OfficialKevin MeriwetherPresident · (305) 500-2000
Enumeration DateJune 1, 2021
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1457927402 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
13475 SOUTHERN BLVD, Loxahatchee, FL 33470
Open in Google Maps ↗

Other Names 1

Other NameConviva Wellington

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 10D0695601

Conviva Medical Center Management LLC Dba Conviva Senior Primary Care · Loxahatchee, FL
Active · expires Aug 31, 2026
CLIA Number10D0695601
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAdolfo L. Colman
Laboratory Phone(561) 556-0374
Laboratory LocationConviva Medical Center Management LLC Dba Conviva Senior Primary Care13475 Southern Blvd Suite 100, Loxahatchee, FL 33470
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. DANEEL CORREA M.D
Internal Medicine
13475 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (561) 793-1713
TINA M DOCHNIAK DNP, ARNP
Nurse Practitioner
13475 SOUTHERN BLVD, SUITE 100
LOXAHATCHEE, FL 33470
Palm Beach County (561) 231-5200
SERENITY GROVE DENTAL PLLC
Clinic/Center (Dental)
13475 SOUTHERN BLVD, SUITE 201
LOXAHATCHEE, FL 33470
Palm Beach County (561) 318-0805
KIMBERLY K GUNN ARNP
Nurse Practitioner (Family)
13475 SOUTHERN BLVD, STE 100
LOXAHATCHEE, FL 33470
Palm Beach County (561) 333-5022

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 1457927402. It was assigned to this organization in the NPPES registry on June 1, 2021. The provider is also known as Conviva Wellington.

Where is Conviva Medical Center Management LLC located?

Conviva Medical Center Management LLC is located at 13475 Southern Blvd, Loxahatchee, FL 33470. The listed phone number is (561) 793-1713.

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 10D0695601) 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 August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.