NPIMap

Conviva Medical Center Management LLC

Organization Active NPI Internal Medicine Physician · Pinellas Park, FL

NPI 1902586480 · NPPES record last updated Jun 21, 2024

Key facts

NPI
1902586480
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Practice address
7322 US Highway 19 N
Pinellas Park, FL 33781-4600
Phone
(727) 373-4401
NPI assigned
Jul 20, 2023
Organization subpart
Yes
Parent organization (as reported)
CONVIVA MEDICAL CENTER MANAGEMENT LLC

Authorized official

Name
Kevin Meriwether
Title
Division President
Phone
(305) 500-2000

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2287938Conviva Medical Center Management, LLC
7322 US Hwy 19N, Pinellas Park, FL 33781		Certificate of waiverAug 17, 2027

National Provider Directory

Tax ID family
Conviva Med Ctr MGMT LLC (76 organizations share this tax ID)
Part of
Conviva Med Ctr MGMT LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208D00000X

Addresses

Primary practice location

7322 US Highway 19 N
Pinellas Park, FL 33781-4600

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other names

  • Conviva Pinellas Park Doing business as

Other providers in Pinellas Park, FL

All providers in Pinellas Park, FL · Internal Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.