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NPI Code Detail

MEDICARE: C & C MEDICAL EQUIPMENT & SUPPLY INC

MEDICARE: C & C MEDICAL EQUIPMENT & SUPPLY INC
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
1332BP3500XParenteral & Enteral Nutrition Supplies (DME)460FL
2332BX2000XOxygen Equipment & Supplies (DME)3204502FL
3332B00000XDurable Medical Equipment & Medical Supplies460FL

General Provider Information

NPI Number : 1164518544
Entity Type Code : Organization
Provider Name (Legal Business Name) : C & C MEDICAL EQUIPMENT & SUPPLY INC
Provider Business Mailing Address
First Line : 6043 NW 167TH ST
Second Line : SUITE A-16
City : MIAMI GARDENS
State : FL
Zip : 33015-4326
Country : US
Telephone Number : 305-392-9967
Fax Number : 305-392-9968
Provider Business Practice Location Address
First Line : 6043 NW 167TH ST
Second Line : SUITE A-16
City : MIAMI GARDENS
State : FL
Zip : 33015-4326
Country : US
Telephone Number : 305-392-9967
Fax Number : 305-392-9968
Authorized Official
Title or Position : PRESIDENT
Name : NELIS BAHDER
Credential :
Telephone Number : 954-663-1919
Provider Enumeration Date : 10/05/2006
Last Update Date : 01/30/2008

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Directions to “C & C MEDICAL EQUIPMENT & SUPPLY INC ” Practice Location

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