| Conviva Coral Gate | |
|
5643 Nw 29th St Margate FL 33063-1531 | |
| (954) 979-6900 | |
| (866) 245-0079 |
| Full Name | Conviva Coral Gate |
|---|---|
| Speciality | Internal Medicine |
| Location | 5643 Nw 29th St, Margate, 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 |
|---|---|
| Conviva Coral Gate 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Conviva Coral Gate 5643 Nw 29th St Margate FL 33063-1531 Ph: (954) 979-6900 |
| NPI Number | 1679147987 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679147987 | 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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