# C & C MEDICAL EQUIPMENT & SUPPLY INC

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

## Provider details

- **NPI number:** 1164518544
- **Authorized official:** NELIS BAHDER (PRESIDENT)
- **Authorized official phone:** (954) 663-1919

## Contact information

- **Practice address:** 6043 NW 167TH ST, SUITE A-16, MIAMI GARDENS, FL 33015-4326
- **Practice address phone:** (305) 392-9967
- **Practice address fax:** (305) 392-9968
- **Mailing address:** 6043 NW 167TH ST, SUITE A-16, MIAMI GARDENS, FL 33015-4326
- **Mailing address phone:** (305) 392-9967
- **Mailing address fax:** (305) 392-9968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 460 | FL | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 460 | FL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 3204502 | FL | — |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 01/30/2008