| Conviva Care Center | |
|
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 | |
| (305) 662-5200 | |
| (305) 284-7948 |
| Full Name | Conviva Care Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 6101 Blue Lagoon Dr Ste 400, Miami, Florida |
| Authorized Official Name and Position | Gemma Rosello (VP) |
| Authorized Official Contact | 3055002000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conviva Care Center 6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 Ph: (305) 500-2000 | Conviva Care Center 6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 Ph: (305) 662-5200 |
| NPI Number | 1265614754 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 02/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265614754 | NPI | - | NPPES |
| 012616300 | Medicaid | FL | |
| 012616302 | Medicaid | FL | |
| 012616303 | Medicaid | FL | |
| 012616301 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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