# C&A MEDICAL SUPPLIES

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

## Provider details

- **NPI number:** 1598192692
- **Authorized official:** MS. CAROL G HICKS (SOLE OWNER)
- **Authorized official phone:** (772) 579-5323

## Contact information

- **Practice address:** 700 SW SARDINIA AVE, PORT SAINT LUCIE, FL 34953-3745
- **Practice address phone:** (772) 579-5323
- **Mailing address:** 700 SW SARDINIA AVE, PORT SAINT LUCIE, FL 34953-3745
- **Mailing address phone:** (772) 579-5323

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2013
- **Last updated:** 10/03/2013
