CONVIVA MEDICAL CENTER MANAGEMENT LLC NPI 1285203869

NPI Information

  • NPI: 1285203869
  • Provider Name: CONVIVA MEDICAL CENTER MANAGEMENT LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Other Name: CONVIVA MIDDLEBURG
  • CLIA Number: 10D2058671
  • Address: 1586 BRANAN FIELD RD
    MIDDLEBURG, FL
    ZIP 32068
  • Phone: (904) 282-8000

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NPI Details

CONVIVA MEDICAL CENTER MANAGEMENT LLC is an internal medicine in Middleburg, 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. CONVIVA MEDICAL CENTER MANAGEMENT LLC NPI is 1285203869. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Conviva Middleburg.

The provider's business location address is:

1586 BRANAN FIELD RD
MIDDLEBURG, FL
ZIP 32068-427
Phone: (904) 282-8000
Fax: (904) 282-8044

The provider's authorized official is Kevin Meriwether .
The authorized official title is President and has the following contact phone number (305) 500-2000.

The CLIA number assigned to this NPI record is 10D2058671 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2021 and was last updated on 12/16/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineYes
3208D00000XGeneral PracticeNo

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: 3/30/2025

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