CONVIVA WEST BOCA RATON - NPI 1740854058 - Internal Medicine in Boca Raton, 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.

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About Conviva West Boca Raton NPPES

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

CONVIVA WEST BOCA RATON (NPI 1740854058) is a healthcare organization registered as an internal medicine in Boca Raton, Florida and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Kevin Meriwether, President, as its authorized official.

NPPES Registry Identity

NPI1740854058

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC

Location Address9030 KIMBERLY BLVDBoca Raton, FL 33434-2823

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

Phone(561) 488-2300

Fax(561) 487-6704

Organization SubpartYes

Authorized OfficialKevin MeriwetherPresident · (305) 500-2000

Enumeration DateMay 20, 2021

Last NPPES UpdateMay 21, 20242 updates tracked since enumeration

NPPES CertifiedMay 21, 2024

✔ NPI 1740854058 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

9030 KIMBERLY BLVD, Boca Raton, FL 33434

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Other Names 1

Other NameConviva West Boca Raton

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 10D0697266

Conviva Medical Center Management, LLC Dba Conviva Care Center · Boca Raton, FL

Active · expires Feb 11, 2027

CLIA Number10D0697266

Laboratory TypePhysician Office

Certificate Effective DateFebruary 12, 2025

Certificate Expiration DateFebruary 11, 2027

Laboratory DirectorDr. Ian Weinstein

Laboratory Phone(561) 672-0859

Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Care Center9030 Kimberly Blvd, Boca Raton, FL 33434

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 18

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

KIMBERLY BISOGNO ARNP

Nurse Practitioner