Conviva Medical Center Management LLC
NPI 1053058214 · Internal Medicine Physician · Lake Park, FL
Conviva Medical Center Management LLC is a Internal Medicine Physician organization in Lake Park, FL (NPI 1053058214).
Provider details
- NPI number
- 1053058214
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Conviva Medical Center Management LLC
- Organization subpart
- Yes
- Authorized official
- Kevin Meriwether, President(305) 500-2000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Conviva Lake Park
- Other name
- Conviva Lake Park
Registry dates
- Enumerated
- 2022-05-18
- Last updated
- 2024-05-20
- Certified
- 2024-05-20
Frequently asked questions
- What is Conviva Medical Center Management LLC's NPI number?
- Conviva Medical Center Management LLC's National Provider Identifier (NPI) is 1053058214, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Conviva Medical Center Management LLC?
- Conviva Medical Center Management LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Conviva Medical Center Management LLC located?
- Conviva Medical Center Management LLC's practice location on file with NPPES is 415 US Highway 1 Ste D, Lake Park, FL 33403-3585.
- What is Conviva Medical Center Management LLC's phone number?
- The practice phone number listed in the NPPES registry for Conviva Medical Center Management LLC is (561) 842-5900.
- Who is the authorized official for Conviva Medical Center Management LLC?
- The authorized official listed on Conviva Medical Center Management LLC's NPPES record is Kevin Meriwether, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Conviva Medical Center Management LLC's NPI active?
- Yes — Conviva Medical Center Management LLC's NPI (1053058214) is active in the NPPES registry as of the last update on 2024-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.