Healthcare Provider Details

I. General information

NPI: 1174490221
Provider Name (Legal Business Name): AVANZ-CARE NURSE REGISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10647 N KENDALL DR STE 104
MIAMI FL
33176-1510
US

IV. Provider business mailing address

10647 N KENDALL DR STE 104
MIAMI FL
33176-1737
US

V. Phone/Fax

Practice location:
  • Phone: 786-442-6465
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MADELIN MARICHAL
Title or Position: OWNER
Credential:
Phone: 786-442-6465