| Conviva Memorial West | |
|
601 N Flamingo Rd Ste 304 Pembroke Pines FL 33028-1010 | |
| (954) 433-3114 | |
| (954) 433-0872 |
| Full Name | Conviva Memorial West |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 N Flamingo Rd Ste 304, Pembroke Pines, Florida |
| Authorized Official Name and Position | Ofelia Burgos (DIRECTOR) |
| Authorized Official Contact | 3055002000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conviva Memorial West 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Conviva Memorial West 601 N Flamingo Rd Ste 304 Pembroke Pines FL 33028-1010 Ph: (954) 433-3114 |
| NPI Number | 1982278297 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 09/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982278297 | 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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Amda Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2126 N Flamingo Rd, Pembroke Pines, FL 33028 Phone: 954-437-6660 Fax: 954-239-3902 | |
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