Provider Demographics
NPI:1205878519
Name:P&O MEDICAL SERVICES INC
Entity type:Organization
Organization Name:P&O MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:YAREMIS
Authorized Official - Middle Name:
Authorized Official - Last Name:OTANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-362-8787
Mailing Address - Street 1:15025 NW 77TH AVE
Mailing Address - Street 2:SUITE 137
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-6852
Mailing Address - Country:US
Mailing Address - Phone:305-362-8787
Mailing Address - Fax:305-362-8788
Practice Address - Street 1:15025 NW 77TH AVE
Practice Address - Street 2:SUITE 137
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-6852
Practice Address - Country:US
Practice Address - Phone:305-362-8787
Practice Address - Fax:305-362-8788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies