OrganizationMedivance Dme LlcDurable Medical Equipment & Medical SuppliesSuppliersPractice Address2900 NW 112th Ave Unit 1, Doral, FL 33172-1867(786) 359-4262(305) 439-0922PECOS EnrollmentBased on the most recent information from CMS, provider Medivance Dme Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1083416945Provider TypeOrganizationFull NameMedivance Dme LlcSubpartNoEnumeration Date3/24/2025Last Updated7/11/2025Contact InformationPractice LocationPractice Address2900 NW 112th Ave Unit 1, Doral, FL 33172-1867Phone(786) 359-4262FaxUnlisted FaxMailing LocationMailing Address9719 NW 127th St, Hialeah Gardens, FL 33018-7403Phone(305) 439-0922FaxUnlisted FaxAuthorized OfficialNameFestary, Iliana (Owner)Phone(305) 439-0922Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted Issuer