Graduated: 1985
NPI: 1326092578
Practice Locations (2)
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
6221 N FEDERAL HWY
FT LAUDERDALE, FL 333081903
9544911686
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
1411 N FLAGLER DR, SUITE 6800
WEST PALM BEACH, FL 334013417
5618320183
Source: CMS National Downloadable File, September 2026.