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MEDIVANCE DME LLC - Florida Company Profile

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Company Details

Entity Name: MEDIVANCE DME LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Mar 2025 (5 months ago)
Document Number: L25000127160
Address: 9719 NW 127 ST, HIALEAH GARDENS, FL, 33018, US
Mail Address: 9719 NW 127 ST, HIALEAH GARDENS, FL, 33018, US
ZIP code: 33018
City: Hialeah
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FESTARY ILIANA Agent 9719 NW 127TH ST, HIALEAH GARDENS, FL, 33018
FESTARY ILIANA Manager 9719 NW 127TH ST, HIALEAH GARDENS, FL, 33018

National Provider Identifier

NPI Number:
1083416945
Certification Date:
2025-07-11

Authorized Person:

Name:
ILIANA FESTARY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

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Date of last update: 01 Aug 2025

Sources: Florida Department of State