Healthcare Provider Details

I. General information

NPI: 1891604435
Provider Name (Legal Business Name): A AND R MEDICAL SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 NW 79TH ST
MIAMI FL
33150
US

IV. Provider business mailing address

728 NW 79TH ST
MIAMI FL
33150
US

V. Phone/Fax

Practice location:
  • Phone: 634-241-2861
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: JEREMY VALENTINO
Title or Position: MANAGER
Credential:
Phone: 636-421-3641