Medivance Healing LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MEDIVANCE HEALING LLC

Practice address

220 NW 38TH PL
Deerfield Beach, FL 33064-2715

Phone

(786) 709-7646

NPI assigned

Oct 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pedro Michael Casas BaronNPI 1619731528

Title

Aprn

Phone

(786) 709-7646

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pedro Michael Casas Baron, APRN

  • Family Nurse Practitioner
  • Deerfield Beach, FL
  • NPI 1619731528
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1003782178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NW 38TH PL",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330642715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NW 38TH PL",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330642715",
            "telephone_number": "786-709-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVANCE HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "CASAS BARON",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "786-709-7646"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benazir Tamara Medina, DNP, APRN, FNP-C
• Carlos E Medina
• Evelyn Cristina Medina
• Martha Medina
• Victoria Navarrete Medina
• Ruth Medovnikov
• Medsport Spine LLC
• Medsurg Care, LLC
• Jay Harshad Mehta, DO
• Stacy P Meikle, COTA/L

• Nurse Practitioner in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.