Graduated: 2004
NPI: 1780761825
Practice Locations (2)
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
5238 -16 NORWOOD AVE
JACKSONVILLE, FL 322085005
9048611222
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
228 W ALEXANDER ST
PLANT CITY, FL 335637157
8137545480
Source: CMS National Downloadable File, September 2026.