Organization
C & C MEDICAL EQUIPMENT & SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELIS BAHDER (PRESIDENT)
(954) 663-1919
Entity
Organization
Contact information
Practice address
6043 NW 167TH ST, SUITE A-16, MIAMI GARDENS, FL 33015-4326
(305) 392-9967
(305) 392-9968
Mailing address
6043 NW 167TH ST, SUITE A-16, MIAMI GARDENS, FL 33015-4326
(305) 392-9967
(305) 392-9968
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
460
FL
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
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