Provider Demographics
NPI:1841916954
Name:BAWS EXPRESS MEDICAL SUPPLIES INC
Entity type:Organization
Organization Name:BAWS EXPRESS MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-865-3450
Mailing Address - Street 1:9385 N 56TH ST STE 202
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-5505
Mailing Address - Country:US
Mailing Address - Phone:954-865-3450
Mailing Address - Fax:
Practice Address - Street 1:9385 N 56TH ST STE 202
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-5505
Practice Address - Country:US
Practice Address - Phone:954-865-3450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies