MEDICARE: O2M NEBMED INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336L0003X	Long Term Care Pharmacy
3	3336C0003X	Community/Retail Pharmacy	PH19650	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2006512	OTHER	PK
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457366072
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	O2M NEBMED INC

Provider Business Mailing Address
First Line	:	2525 N DIXIE HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-6250
Country	:	US
Telephone Number	:	561-588-2252
Fax Number	:	561-586-4588

Provider Business Practice Location Address
First Line	:	2525 N DIXIE HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-6250
Country	:	US
Telephone Number	:	561-588-2252
Fax Number	:	561-586-4588

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MINERVA GARCIA
Credential	:
Telephone Number	:	561-588-2252

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	09/19/2025

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Directions to “O2M NEBMED INC ” Practice Location

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