# CCB MEDICAL EQUIPMENT, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144396730
- **Authorized official:** MR. JORGE DIAZ (MANAGER)
- **Authorized official phone:** (305) 591-2170

## Contact information

- **Practice address:** 2500 NW 79TH AVE, \#280, DORAL, FL 33122-1073
- **Practice address phone:** (305) 591-2170
- **Practice address fax:** (305) 591-2171
- **Mailing address:** 2500 NW 79TH AVE, \#280, DORAL, FL 33122-1073
- **Mailing address phone:** (305) 591-2170
- **Mailing address fax:** (305) 591-2171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 01/29/2008