OrganizationActive
Conviva Medical Center Management LLC
NPI 1164096764 · Internal Medicine Physician · Lutz, FL
Provider details
- NPI number
- 1164096764
- 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
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1563 Land O Lakes Blvd
Lutz, FL 33549-2930
Phone: (813) 949-4224
Fax: (813) 949-2809
Approximate (ZIP-level) locationGet directions
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Other names (DBA / former)
- Other name
- Conviva Land O' Lakes
- Other name
- Conviva Land O' Lakes
Registry dates
- Enumerated
- 2021-05-18
- Last updated
- 2024-11-25
- Certified
- 2024-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.