Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1989
Offers telehealth
NPI: 1629030747
Practice Locations (1)
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
415 US HWY 1, SUITE D
LAKE PARK, FL 334033585
5618425900
Source: CMS National Downloadable File, September 2026.