Organization
CCB MEDICAL EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE DIAZ (MANAGER)
(305) 591-2170
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE, #280, DORAL, FL 33122-1073
(305) 591-2170
(305) 591-2171
Mailing address
2500 NW 79TH AVE, #280, DORAL, FL 33122-1073
(305) 591-2170
(305) 591-2171
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/27/2006
Last updated
01/29/2008
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