Conviva Care Center

LBN: Metcare Of Florida, Inc.
Conviva Care Center is an health care organization with primary practice located at 3641 Clyde Morris Blvd Suite 100, Port Orange FL 32129-2357. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Metcare Of Florida, Inc. can be contacted via phone (305) 500-2114, or through Meriwether, Kevin via phone (305) 500-2000.

Contact Information

Primary practice address
3641 Clyde Morris Blvd Suite 100 Port Orange FL 32129-2357
Phone: (305) 500-2114
Fax: (305) 370-6024
Website:
Map and Directions
Authorized official contact:
Name: Meriwether, Kevin
Phone: (305) 500-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1134504855
LBN Legal business name Metcare Of Florida, Inc.
DBA Doing business as Conviva Care Center
Authorized official Meriwether, Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 23rd, 2015
Last updated Jun 21st, 2024 - about last year

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 1134504855 NPPES
Florida Other CX415B MEDICARE PTAN

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