Conviva Specialty, Llc

LBN: Conviva Specialty, Llc
Conviva Specialty, Llc is an health care organization with primary practice located at 12905 Sw 42Nd St Ste 103 , Miami FL 33175-2910. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Conviva Specialty, Llc can be contacted via phone (786) 801-5620, or through Jacobs, Evan via phone (305) 500-2000.

Contact Information

Primary practice address
12905 Sw 42Nd St Ste 103 Miami FL 33175-2910
Phone: (786) 801-5620
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jacobs, Evan Doctor of Medicine (MD)
Phone: (305) 500-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME116882 Florida
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME129977 Florida

Profile Details

NPI number 1326498676
LBN Legal business name Conviva Specialty, Llc
DBA Doing business as
Authorized official Jacobs, Evan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2016
Last updated Jun 21st, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326498676 NPPES
Florida MEDICAID 021709600

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