Medivante LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDIVANTE LLC

Practice address

2500 NW 79TH Ave Ste 252
Doral, FL 33122-1087

Phone

(954) 412-2682

NPI assigned

Jul 13, 2026

Last updated

Aug 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian McLaren

Title

Organizer

Phone

(954) 412-2682

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1679492664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 252",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 252",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221087",
            "telephone_number": "954-412-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVANTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "MCLAREN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "954-412-2682"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guillermo Medina
• Michelle M. Medina, R.N.
• Paula Liliana Medina, DC
• Mediquip Unlimited Inc.
• Medivance DME LLC
• Milena Medori
• Medtour 2 LLC (Doral Primary Care)
• Medtour LLC
• Medvali.Inc
• Medxperts RCM

• Community/Retail Pharmacy in Doral, FL
• Providers in Doral, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.