OrganizationConviva Medical Center Management Llc(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address2900 N Military Trl Ste 200, Boca Raton, FL 33431-6308(561) 241-0025(305) 500-2000PECOS EnrollmentBased on the most recent information from CMS, provider Conviva Medical Center Management Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1083298046Provider TypeOrganizationFull NameConviva Medical Center Management LlcOther Name<Unavail>SubpartYesEnumeration Date5/6/2021Last Updated5/20/2024Contact InformationPractice LocationPractice Address2900 N Military Trl Ste 200, Boca Raton, FL 33431-6308Phone(561) 241-0025Fax(877) 868-0952Mailing LocationMailing Address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168Phone(305) 500-2000FaxUnlisted FaxAuthorized OfficialNameMeriwether, Kevin (President)Phone(305) 500-2000Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer