| Conviva Care Center | |
|
1411 N Flagler Dr Ste 6800 West Palm Beach FL 33401 | |
| (561) 842-7293 | |
| (561) 842-5554 |
| Full Name | Conviva Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1411 N Flagler Dr Ste 6800, West Palm Beach, Florida |
| Authorized Official Name and Position | Gemma Rosello (V.P. OPERATIONS) |
| Authorized Official Contact | 3055002000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conviva Care Center 6101 Blue Lagoon Dr Suite 400 Miami FL 33126-2055 Ph: (305) 500-2114 | Conviva Care Center 1411 N Flagler Dr Ste 6800 West Palm Beach FL 33401 Ph: (561) 842-7293 |
| NPI Number | 1760873905 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 01/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760873905 | NPI | - | NPPES |
| CX415A | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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