C & C Medical Equipment & Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

460 Issued in FL

Legal business name

C & C MEDICAL EQUIPMENT & SUPPLY INC

Practice address

6043 NW 167TH St
Suite a-16
Miami Gardens, FL 33015-4326

Phone

(305) 392-9967

Fax

(305) 392-9968

NPI assigned

Oct 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nelis Bahder

Title

President

Phone

(954) 663-1919

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1164518544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 NW 167TH ST",
            "address_2": "SUITE A-16",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330154326",
            "telephone_number": "305-392-9967",
            "fax_number": "305-392-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 NW 167TH ST",
            "address_2": "SUITE A-16",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330154326",
            "telephone_number": "305-392-9967",
            "fax_number": "305-392-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C MEDICAL EQUIPMENT & SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "BAHDER",
        "authorized_official_first_name": "NELIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-663-1919"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "460",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "FL",
            "license": "460",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "3204502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.