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PRIMARY CARE SPECIALISTS OF THE PALM BEACHES LLC NPI 1265614754


NPI Information

NPI: 1265614754
Provider Name: PRIMARY CARE SPECIALISTS OF THE PALM BEACHES LLC

Doing Business As: CONVIVA CARE CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
6101 BLUE LAGOON DR STE 400
MIAMI, FL
ZIP 33126
Phone: (305) 662-5200
Get Directions

PRIMARY CARE SPECIALISTS OF THE PALM BEACHES LLC is an internal medicine in Miami, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRIMARY CARE SPECIALISTS OF THE PALM BEACHES LLC NPI is 1265614754. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Conviva Care Center.

The provider's business location address is:

6101 BLUE LAGOON DR STE 400
MIAMI, FL
ZIP 33126-051
Phone: (305) 662-5200
Fax: (305) 284-7948

The provider's authorized official is Gemma Rosello .
The authorized official title is Vp and has the following contact phone number (305) 500-2000.

The enumeration date for this NPI number is 11/27/2007 and was last updated on 2/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1012616300MEDICAIDFLORIDA
2012616302MEDICAIDFLORIDA
3012616301MEDICAIDFLORIDA
4012616303MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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