CONVIVA CORAL GATE
NPI 1679147987
Internal Medicine in Margate, 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 20, 2021CLIA 10D1037108 · Waiver

5643 NW 29TH ST, MARGATE, FL 33063(954) 979-6900(866) 245-0079 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Conviva Coral Gate NPPES

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

CONVIVA CORAL GATE (NPI 1679147987) is a healthcare organization registered as an internal medicine in Margate, Florida and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through February 15, 2027 and lists Kevin Meriwether, President, as its authorized official.

NPPES Registry Identity

NPI1679147987

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC

Location Address5643 NW 29TH STMargate, FL 33063-1531

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

Phone(954) 979-6900

Fax(866) 245-0079

Organization SubpartYes

Authorized OfficialKevin MeriwetherPresident · (305) 500-2000

Enumeration DateMay 20, 2021

Last NPPES UpdateMay 21, 2024

NPPES CertifiedMay 21, 2024

✔ NPI 1679147987 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

5643 NW 29TH ST, Margate, FL 33063

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Other Names 1

Other NameConviva Coral Gate

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 10D1037108

Conviva Medical Center Management, LLC Dba Conviva Care Center · Margate, FL

Active · expires Feb 15, 2027

CLIA Number10D1037108

Laboratory TypePhysician Office

Certificate Effective DateFebruary 16, 2025

Certificate Expiration DateFebruary 15, 2027

Laboratory DirectorNatalia Rodriguez

Laboratory Phone(954) 979-6900

Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Care Center5643 NW 29th St, Margate, FL 33063

CLIA data matches this NPI record on: Address Name Phone

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

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Other Providers at the Same Location NPPES 18

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

KARIM R. HARFOUCHE MD

Internal Medicine