MEDICARE: C & B MEDICAL 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1710939897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C & B MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	5448 HOFFNER AVE
Second Line	:	SUITE 308
City	:	ORLANDO
State	:	FL
Zip	:	32812-2505
Country	:	US
Telephone Number	:	407-658-8280
Fax Number	:	305-658-8127

Provider Business Practice Location Address
First Line	:	5448 HOFFNER AVE
Second Line	:	SUITE 308
City	:	ORLANDO
State	:	FL
Zip	:	32812-2505
Country	:	US
Telephone Number	:	407-658-8280
Fax Number	:	305-658-8127

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ESTRELLA CARRO
Credential	:
Telephone Number	:	407-658-8280

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	08/22/2020

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