Provider Demographics
NPI:1457488637
Name:A & R MEDICAL SUPPLY CORP
Entity Type:Organization
Organization Name:A & R MEDICAL SUPPLY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-687-6917
Mailing Address - Street 1:4080 NW 132ND ST
Mailing Address - Street 2:Y
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-4548
Mailing Address - Country:US
Mailing Address - Phone:305-687-6917
Mailing Address - Fax:305-687-6918
Practice Address - Street 1:4080 NW 132ND ST
Practice Address - Street 2:Y
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-4548
Practice Address - Country:US
Practice Address - Phone:305-687-6917
Practice Address - Fax:305-687-6918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherEIN