Provider Demographics
NPI:1982994240
Name:C&C CLINICAL CONSULTANTS, LLC
Entity Type:Organization
Organization Name:C&C CLINICAL CONSULTANTS, LLC
Other - Org Name:C&C NEMT, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:ANGELICA
Authorized Official - Last Name:COLON
Authorized Official - Suffix:
Authorized Official - Credentials:ALPN
Authorized Official - Phone:407-412-2414
Mailing Address - Street 1:1201 YVONNE ST
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-3825
Mailing Address - Country:US
Mailing Address - Phone:407-802-4306
Mailing Address - Fax:
Practice Address - Street 1:1201 YVONNE ST
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-3825
Practice Address - Country:US
Practice Address - Phone:407-802-4306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)