Provider Demographics
NPI:1710275219
Name:BCI MEDICAL SUPPLIES INC.
Entity Type:Organization
Organization Name:BCI MEDICAL SUPPLIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TATIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:305-597-8331
Mailing Address - Street 1:9745 SUNSET DR STE 206
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4654
Mailing Address - Country:US
Mailing Address - Phone:305-597-8331
Mailing Address - Fax:305-274-4744
Practice Address - Street 1:9745 SUNSET DR STE 206
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4654
Practice Address - Country:US
Practice Address - Phone:305-597-8331
Practice Address - Fax:305-274-4744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003299000Medicaid