Graduated: 2010
NPI: 1679926687
Practice Locations (2)
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
1028 DUNN AVE
JACKSONVILLE, FL 322184830
9047667606
RURAL HEALTH CARE INCORPORATED
105 WHITEHALL DR, SUITE 109
ST AUGUSTINE, FL 320865269
9048292782
Source: CMS National Downloadable File, September 2026.