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CONVIVA ATLANTIC
NPI 1861229072
Internal Medicine in Jacksonville, FL

Active since September 19, 2024
11900 ATLANTIC BLVD # 1, JACKSONVILLE, FL 32225(048) 391-0379 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2024, Sep 19, 2024 (2 updates tracked since 2024).

About Conviva Atlantic NPPES

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

CONVIVA ATLANTIC (NPI 1861229072) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since September 2024. The organization lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1861229072
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE FL JV PLLC
Location Address11900 ATLANTIC BLVD # 1Jacksonville, FL 32225-2920
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 447-7120 · Fax (407) 770-0661
Phone(048) 391-0379
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateSeptember 19, 2024
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1861229072 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
11900 ATLANTIC BLVD # 1, Jacksonville, FL 32225
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Other Names 1

Doing Business AsConviva Atlantic

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

Other Providers at the Same Location NPPES 2

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

ANGELICA U DOLOROSO APRN
Nurse Practitioner
11900 ATLANTIC BLVD # 1
JACKSONVILLE, FL 32225
Duval County (904) 839-1037
DR. NANAKO BROUGHTON MD
Internal Medicine
11900 ATLANTIC BLVD # 1
JACKSONVILLE, FL 32225
Duval County (904) 839-1037

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 Centerwell Senior Primary Care Fl Jv PLLC's NPI number?

The NPI number for Centerwell Senior Primary Care Fl Jv PLLC is 1861229072. It was assigned to this organization in the NPPES registry on September 19, 2024. The provider is doing business as Conviva Atlantic.

Where is Centerwell Senior Primary Care Fl Jv PLLC located?

Centerwell Senior Primary Care Fl Jv PLLC is located at 11900 Atlantic Blvd # 1, Jacksonville, FL 32225. The listed phone number is (048) 391-0379.

What is Centerwell Senior Primary Care Fl Jv PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Fl Jv PLLC was last updated on December 10, 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.