CONVIVA LAKE WORTH
NPI 1871167189
Internal Medicine in Greenacres, FL

Active since May 20, 2021CLIA Certified · 2 labs
5799 LAKE WORTH RD, GREENACRES, FL 33463(561) 967-0234(561) 439-4833 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2024, Sep 6, 2022, May 20, 2021 (3 updates tracked since 2021).

About Conviva Lake Worth NPPES

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

CONVIVA LAKE WORTH (NPI 1871167189) is a healthcare organization registered as an internal medicine in Greenacres, Florida and active in the NPI registry since May 2021. The organization holds 2 active CLIA laboratory certificates and lists Kevin Meriwether, President, as its authorized official.

NPPES Registry Identity

NPI1871167189
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC
Location Address5799 LAKE WORTH RDGreenacres, FL 33463-3207
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Fax(561) 439-4833
Organization SubpartYes
Authorized OfficialKevin MeriwetherPresident · (305) 500-2000
Enumeration DateMay 20, 2021
Last NPPES UpdateJune 10, 20243 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
NPI 1871167189 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
5799 LAKE WORTH RD, Greenacres, FL 33463

Other Names 1

Other NameConviva Lake Worth

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 2

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 10D0976829

Conviva Medical Center Management, LLC Dba Conviva Care Center · Greenacres, FL
Active · expires Aug 14, 2026
CLIA Number10D0976829
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
Laboratory DirectorLee Epstein
Laboratory Phone(561) 967-0234
Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Care Center5799 Lake Worth Road, Greenacres, FL 33463
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0865736

Conviva Medical Center Management, LLC Dba Conviva Care Center · Greenacres, FL
Active · expires Aug 31, 2026
CLIA Number10D0865736
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGlenroy Wong
Laboratory Phone(561) 966-0015
Laboratory LocationConviva Medical Center Management, LLC Dba Conviva Care Center6766 Forest Hill Blvd, Greenacres, FL 33413
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Internal Medicine
5799 LAKE WORTH RD
GREENACRES, FL 33463
Family Medicine
5799 LAKE WORTH RD
GREENACRES, FL 33463
Nurse Practitioner (Family)
5799 LAKE WORTH RD
GREENACRES, FL 33463
Physician Assistant
5799 LAKE WORTH RD
GREENACRES, FL 33463
Family Medicine
5799 LAKE WORTH RD
GREENACRES, FL 33463
Internal Medicine
5799 LAKE WORTH RD
GREENACRES, FL 33463

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 1871167189. It was assigned to this organization in the NPPES registry on May 20, 2021. The provider is also known as Conviva Lake Worth.

Where is Conviva Medical Center Management LLC located?

Conviva Medical Center Management LLC is located at 5799 Lake Worth Rd, Greenacres, FL 33463. The listed phone number is (561) 967-0234.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Conviva Medical Center Management LLC was last updated on June 10, 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.