Conviva Fort Pierce | |
1215 S 25th St Fort Pierce FL 34947-4702 | |
(772) 837-6918 | |
Not Available |
Full Name | Conviva Fort Pierce |
---|---|
Speciality | Internal Medicine |
Location | 1215 S 25th St, Fort Pierce, Florida |
Authorized Official Name and Position | Kevin Meriwether (PRESIDENT) |
Authorized Official Contact | 3055002000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Conviva Fort Pierce 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Conviva Fort Pierce 1215 S 25th St Fort Pierce FL 34947-4702 Ph: (772) 837-6918 |
NPI Number | 1104688548 |
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Provider Enumeration Date | 01/30/2024 |
Last Update Date | 05/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104688548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
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