Provider Demographics
NPI:1386048924
Name:BB RESPIRATORY, LLC
Entity type:Organization
Organization Name:BB RESPIRATORY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-256-2800
Mailing Address - Street 1:2841 S NOVA RD
Mailing Address - Street 2:STE 2
Mailing Address - City:S DAYTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32119-6101
Mailing Address - Country:US
Mailing Address - Phone:386-256-2800
Mailing Address - Fax:386-872-7645
Practice Address - Street 1:2841 S NOVA RD
Practice Address - Street 2:STE 2 & 3
Practice Address - City:S DAYTONA
Practice Address - State:FL
Practice Address - Zip Code:32119-6101
Practice Address - Country:US
Practice Address - Phone:386-256-2800
Practice Address - Fax:386-872-7645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-10
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL326996332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies