Medivance Healing LLC
NPI #1003782178 in Deerfield Beach, Florida
Provider Information
- NPI Number
- 1003782178
- Entity Type
- Organization
- Organization Name
- Medivance Healing LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 15, 2025
- Last Updated
- Oct 15, 2025
Practice Location
- Address
- 220 NW 38TH PL
- City
- Deerfield Beach
- State
- Florida
- ZIP Code
- 33064-2715
- Phone
- (786) 709-7646
Authorized Official
- Name
- PEDRO MICHAEL CASAS BARON
- Title
- APRN
- Phone
- (786) 709-7646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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