Provider Demographics
NPI:1710939897
Name:C & B MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:C & B MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESTRELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-658-8280
Mailing Address - Street 1:5448 HOFFNER AVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-2505
Mailing Address - Country:US
Mailing Address - Phone:407-658-8280
Mailing Address - Fax:305-658-8127
Practice Address - Street 1:5448 HOFFNER AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-2505
Practice Address - Country:US
Practice Address - Phone:407-658-8280
Practice Address - Fax:305-658-8127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5480100001Medicare NSC