| Conviva Pompano North | |
|
750 E Sample Rd Ste 3-6 Pompano Beach FL 33064-5138 | |
| (954) 943-8737 | |
| (954) 943-1358 |
| Full Name | Conviva Pompano North |
|---|---|
| Speciality | Internal Medicine |
| Location | 750 E Sample Rd Ste 3-6, Pompano Beach, Florida |
| Authorized Official Name and Position | Ofelia Burgos (DIRECTORE) |
| Authorized Official Contact | 3055002000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conviva Pompano North 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Conviva Pompano North 750 E Sample Rd Ste 3-6 Pompano Beach FL 33064-5138 Ph: (954) 943-8737 |
| NPI Number | 1467199893 |
|---|---|
| Provider Enumeration Date | 05/17/2022 |
| Last Update Date | 09/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467199893 | 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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