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CONVIVA WEST OAKLAND
NPI 1760056071
Internal Medicine in Lauderdale Lakes, FL

Active since May 20, 2021CLIA 10D0712868 · Waiver
4850 W OAKLAND PARK BLVD STE 148, LAUDERDALE LAKES, FL 33313(954) 735-1200(954) 731-8408 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2022, May 20, 2021 (2 updates tracked since 2021).

About Conviva West Oakland NPPES

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

CONVIVA WEST OAKLAND (NPI 1760056071) is a healthcare organization registered as an internal medicine in Lauderdale Lakes, Florida and active in the NPI registry since May 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

NPI1760056071
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC
Location Address4850 W OAKLAND PARK BLVD STE 148Lauderdale Lakes, FL 33313-7277
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(954) 735-1200
Fax(954) 731-8408
Organization SubpartYes
Authorized OfficialKevin MeriwetherPresident · (305) 500-2000
Enumeration DateMay 20, 2021
Last NPPES UpdateMay 22, 20242 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
✔ NPI 1760056071 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
4850 W OAKLAND PARK BLVD STE 148, Lauderdale Lakes, FL 33313
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Other Names 1

Other NameConviva West Oakland

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 10D0712868

Conviva Medical Center Management, LLC Dba Conviva Care Center · Lauderdale Lakes, FL
Active · expires Aug 31, 2026
CLIA Number10D0712868
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorYira De La Paz
Laboratory Phone(954) 735-1200
Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Care Center4850 W Oakland Park Blvd Ste 148, Lauderdale Lakes, FL 33313
CLIA data matches this NPI record on: Address Name Phone
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.

DR. JUAN VILLARROEL MD
Internal Medicine
4850 W OAKLAND PARK BLVD STE 148
LAUDERDALE LAKES, FL 33313
Broward County (954) 735-1200
YIRA LARISSA DE LA PAZ M.D.
Family Medicine
4850 W OAKLAND PARK BLVD STE 148
LAUDERDALE LAKES, FL 33313
Broward County (954) 735-1200
SANDRO SARRIA ARNP
Nurse Practitioner (Family)
4850 W OAKLAND PARK BLVD STE 148
LAUDERDALE LAKES, FL 33313
Broward County (954) 735-1200

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 1760056071. It was assigned to this organization in the NPPES registry on May 20, 2021. The provider is also known as Conviva West Oakland.

Where is Conviva Medical Center Management LLC located?

Conviva Medical Center Management LLC is located at 4850 W Oakland Park Blvd Ste 148, Lauderdale Lakes, FL 33313. The listed phone number is (954) 735-1200.

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 10D0712868) 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 May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.