Healthcare Provider Details

I. General information

NPI: 1376455907
Provider Name (Legal Business Name): KALYREX MEDICAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 BAY RD
MIAMI BEACH FL
33139-3229
US

IV. Provider business mailing address

1508 BAY RD
MIAMI BEACH FL
33139-3229
US

V. Phone/Fax

Practice location:
  • Phone: 727-408-1795
  • Fax:
Mailing address:
  • Phone: 727-408-1795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRADEN JACOBS
Title or Position: MANAGER
Credential:
Phone: 727-408-1795