CONVIVA SOUTH PEMBROKE
NPI 1942947346
Family Medicine in Pembroke Pines, FL

Q: What is Conviva Medical Center Management LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 17, 2022CLIA 10D0876766 · Waiver

12177 PEMBROKE RD, PEMBROKE PINES, FL 33025(954) 436-0555(954) 436-0108 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2024, May 17, 2022 (2 updates tracked since 2022).

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About Conviva South Pembroke NPPES

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

CONVIVA SOUTH PEMBROKE (NPI 1942947346) is a healthcare organization registered as a family medicine in Pembroke Pines, Florida and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Kevin Meriwether, Division President, as its authorized official.

NPPES Registry Identity

NPI1942947346

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC

Location Address12177 PEMBROKE RDPembroke Pines, FL 33025-1727

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

Phone(954) 436-0555

Fax(954) 436-0108

Organization SubpartYes

Authorized OfficialKevin MeriwetherDivision President · (305) 500-2000

Enumeration DateMay 17, 2022

Last NPPES UpdateJune 21, 20242 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1942947346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

12177 PEMBROKE RD, Pembroke Pines, FL 33025

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Other Names 1

Other NameConviva South Pembroke

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 10D0876766

Conviva Medical Center Management LLC Dba Conviva Senior Primary Care · Pembroke Pines, FL

Active · expires Dec 14, 2026

CLIA Number10D0876766

Laboratory TypePhysician Office

Certificate Effective DateDecember 15, 2024

Certificate Expiration DateDecember 14, 2026

Laboratory DirectorNatalia Rodriguez

Laboratory Phone(954) 432-1511

Laboratory LocationConviva Medical Center Management LLC Dba Conviva Senior Primary Care1380 S Hiatus Rd, Pembroke Pines, FL 33025

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 10

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

METCARE OF FLORIDA INC.

Internal Medicine