Provider Demographics
NPI:1376616854
Name:OCEAN CONVERSIONS & MOBILITY, INC.
Entity Type:Organization
Organization Name:OCEAN CONVERSIONS & MOBILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-942-6033
Mailing Address - Street 1:750 E SAMPLE RD
Mailing Address - Street 2:BUILDING 1 SUITE 5
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-5144
Mailing Address - Country:US
Mailing Address - Phone:954-942-6033
Mailing Address - Fax:954-942-6240
Practice Address - Street 1:750 E SAMPLE RD
Practice Address - Street 2:BUILDING 1 SUITE 5
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-5144
Practice Address - Country:US
Practice Address - Phone:954-942-6033
Practice Address - Fax:954-942-6240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1439171WV0202X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Single Specialty
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1177390001Medicare NSC