# MCC MEDICAL SUPPLY, INC.

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

## Provider details

- **NPI number:** 1760588370
- **Authorized official:** BERNABE BARROS (PRESIDENT)
- **Authorized official phone:** (305) 252-1588

## Contact information

- **Practice address:** 215 SW 17TH AVE, 212, MIAMI, FL 33135-3689
- **Practice address phone:** (305) 252-1588
- **Mailing address:** 215 SW 17TH AVE, 212, MIAMI, FL 33135-3689
- **Mailing address phone:** (305) 252-1588

## Taxonomy

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

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 08/22/2020