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NPI Code Detail

MEDICARE: OCEAN CONVERSIONS & MOBILITY OF FT MYERS, INC

MEDICARE: OCEAN CONVERSIONS & MOBILITY OF FT MYERS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BC3200XCustomized Equipment (DME)1496FL

General Provider Information

NPI Number : 1467506584
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCEAN CONVERSIONS & MOBILITY OF FT MYERS, INC
Provider Business Mailing Address
First Line : 5751 ZIP DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-5035
Country : US
Telephone Number : 239-936-6333
Fax Number : 239-936-0909
Provider Business Practice Location Address
First Line : 5751 ZIP DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-5035
Country : US
Telephone Number : 239-936-6333
Fax Number : 239-936-0909
Authorized Official
Title or Position : PRESIDENT
Name : JAMES PARKS
Credential :
Telephone Number : 954-942-6033
Provider Enumeration Date : 01/23/2007
Last Update Date : 04/12/2011

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Directions to “OCEAN CONVERSIONS & MOBILITY OF FT MYERS, INC ” Practice Location

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