CONVIVA PINE ISLAND - NPI 1881277119 - Internal Medicine in Plantation, 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 Pine Island NPPES

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

CONVIVA PINE ISLAND (NPI 1881277119) is a healthcare organization registered as an internal medicine in Plantation, Florida and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through June 20, 2027 and lists Kevin Meriwether, President, as its authorized official.

NPPES Registry Identity

NPI1881277119

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC

Location Address301 NW 84TH AVE STE 101Plantation, FL 33324-1807

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

Phone(954) 581-1900

Fax(888) 422-4139

Organization SubpartYes

Authorized OfficialKevin MeriwetherPresident · (305) 500-2000

Enumeration DateMay 4, 2021

Last NPPES UpdateJune 10, 20243 updates tracked since enumeration

NPPES CertifiedJune 10, 2024

✔ NPI 1881277119 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

301 NW 84TH AVE STE 101, Plantation, FL 33324

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Other Names 1

Other NameConviva Pine Island

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 10D2025953

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

Active · expires Jun 20, 2027

CLIA Number10D2025953

Laboratory TypePhysician Office

Certificate Effective DateJune 21, 2025

Certificate Expiration DateJune 20, 2027

Laboratory DirectorMichael B. Machek

Laboratory Phone(954) 688-7473

Laboratory LocationConviva Medical Center Management LLC Dba Conviva Care Center301 NW 84th Ave Ste 101, Plantation, FL 33324

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 6

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

DR. GAIL BONNER KIEM MD

Internal Medicine