Well it turns out I got it working. Just an FYI I am running Windows 10 when trying to get connected to Meadow F7 with Visual Studio 2019. But I had to do the following to get my device to show up as a COM port.
1) In Device Manager I selected the Meadow F7 Micro and uninstalled the drivers making sure I removed the drives from my machine.
2) Unplug the meadow F7 board from the USB cable
3) Rebooted windows
4) Plugged the meadow F7 board back into the serial port
5) The device drivers installed on their own and came up as a COM4 serial port
Now the device shows up in visual studio and I can deploy my application to it.