| Conviva Sunrise Lakes | |
|
2900 N University Dr Sunrise FL 33322-1645 | |
| (954) 748-8200 | |
| (855) 852-1969 |
| Full Name | Conviva Sunrise Lakes |
|---|---|
| Speciality | Internal Medicine |
| Location | 2900 N University Dr, Sunrise, Florida |
| Authorized Official Name and Position | Kevin Meriwether (DIVISION PRESIDENT) |
| Authorized Official Contact | 3055002000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conviva Sunrise Lakes 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Conviva Sunrise Lakes 2900 N University Dr Sunrise FL 33322-1645 Ph: (954) 748-8200 |
| NPI Number | 1952975260 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 06/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952975260 | 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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