Provider Demographics
NPI:1447282132
Name:O & M MEDICAL SERVICES, INC
Entity type:Organization
Organization Name:O & M MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:POITEIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-362-0130
Mailing Address - Street 1:14100 PALMETTO FRONTGATE ROAD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016
Mailing Address - Country:US
Mailing Address - Phone:305-362-0130
Mailing Address - Fax:305-231-3329
Practice Address - Street 1:14100 PALMETTO FRONTGATE ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016
Practice Address - Country:US
Practice Address - Phone:305-362-0130
Practice Address - Fax:305-231-3329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2272332B00000X
FL3203474332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3203474OtherOXYGEN LICENSE
FL2272OtherAHCA LICENSE
FL4232380001Medicare ID - Type Unspecified