NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1568038529 |   |   |   | CONVIVA MEDICAL CENTER MANAGEMENT LLC | 6101 BLUE LAGOON DR STE 400 | MIAMI | FL | 331262051 |
1609282722 | CRUZ REPOLLET | IVAN | ARIEL |   | 4340 W HILLSBOROUGH AVE STE 210 | TAMPA | FL | 336145522 |