10D0960174 CLIA NUMBER - CONVIVA MEDICAL CENTER MANAGEMENT LLC

Laboratory Demographics

CLIA Number: 10D0960174

Facility Name: CONVIVA MEDICAL CENTER MANAGEMENT LLC

Facility Address:
349 NW 16TH ST STE 104
BELLE GLADE, FL
ZIP 33430
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Facility Phone Number: (561) 996-1990

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1467026054

Taxonomy: 207R00000X - Internal Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	10D0960174
LAB Type	PHYSICIAN OFFICE
Facility Name	CONVIVA MEDICAL CENTER MANAGEMENT LLC
Street	349 NW 16TH ST STE 104
City	BELLE GLADE
State	FL
ZIP	33430
Phone	(561) 996-1990

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This page was last updated on: 5/11/2023