| Organization Name: | C & C MEDICAL EQUIPMENT & SUPPLY INC |
| NPI Number: | 1164518544 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NELIS BAHDER (PRESIDENT) |
| Mailing Address: | 6043 Nw 167th St Suite A-16 Miami Gardens |
| State: | FL US |
| Postal Code: | 330154326 |
| Phone Number: | 3053929967 |
| Fax Number: | 3053929968 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 01/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 460 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |