Organization
B.B. 'S SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRICEIDA AMADOR (PRESIDENT)
(305) 362-5570
Entity
Organization
Contact information
Practice address
3750 W16 AVENUE SUITE130 AU, HIALEAH, FL 33012-4660
(305) 362-5570
(305) 362-5571
Mailing address
3750 W16 AVENUE SUITE130 AU, HIALEAH, FL 33012-4660
(305) 362-5570
(305) 362-5571
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5688790001
PROVIDER
FL
Enumeration date
04/11/2007
Last updated
08/22/2020
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