Provider Demographics
NPI:1063456366
Name:BB CC SERVICES CORP
Entity Type:Organization
Organization Name:BB CC SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BERTA
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHAVIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-871-4040
Mailing Address - Street 1:6555 NW 36TH ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:VIRGINIA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6903
Mailing Address - Country:US
Mailing Address - Phone:305-871-4040
Mailing Address - Fax:305-871-4030
Practice Address - Street 1:6555 NW 36TH ST
Practice Address - Street 2:SUITE 104
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-6978
Practice Address - Country:US
Practice Address - Phone:305-871-4040
Practice Address - Fax:305-871-4030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies