MEDICARE: BB CC SERVICES CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1063456366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BB CC SERVICES CORP

Provider Business Mailing Address
First Line	:	6555 NW 36TH ST
Second Line	:	SUITE 104
City	:	VIRGINIA GARDENS
State	:	FL
Zip	:	33166-6903
Country	:	US
Telephone Number	:	305-871-4040
Fax Number	:	305-871-4030

Provider Business Practice Location Address
First Line	:	6555 NW 36TH ST
Second Line	:	SUITE 104
City	:	VIRGINIA GARDENS
State	:	FL
Zip	:	33166-6978
Country	:	US
Telephone Number	:	305-871-4040
Fax Number	:	305-871-4030

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. BERTA C CHAVIANO
Credential	:
Telephone Number	:	305-871-4040

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	08/22/2020

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Directions to “BB CC SERVICES CORP ” Practice Location

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