Provider Demographics
NPI:1114155322
Name:BNS MEDICAL, LLC
Entity Type:Organization
Organization Name:BNS MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:V
Authorized Official - Last Name:HARDWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-385-9750
Mailing Address - Street 1:PO BOX 10096
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32783-0096
Mailing Address - Country:US
Mailing Address - Phone:321-385-9750
Mailing Address - Fax:321-267-5582
Practice Address - Street 1:1410 WHITE DR
Practice Address - Street 2:SUITE A
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32780-9657
Practice Address - Country:US
Practice Address - Phone:321-385-9750
Practice Address - Fax:321-267-5582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-25
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6308460001Medicare NSC