MEDICARE: OCEAN CONVERSIONS & MOBILITY, 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
1	332B00000X	Durable Medical Equipment & Medical Supplies	1439	FL
2	171WV0202X	Vehicle Modifications Contractor	1439	FL

General Provider Information

NPI Number	:	1376616854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCEAN CONVERSIONS & MOBILITY, INC.

Provider Business Mailing Address
First Line	:	750 E SAMPLE RD
Second Line	:	BUILDING 1 SUITE 5
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-5144
Country	:	US
Telephone Number	:	954-942-6033
Fax Number	:	954-942-6240

Provider Business Practice Location Address
First Line	:	750 E SAMPLE RD
Second Line	:	BUILDING 1 SUITE 5
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-5144
Country	:	US
Telephone Number	:	954-942-6033
Fax Number	:	954-942-6240

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES PARKS
Credential	:
Telephone Number	:	954-942-6033

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	09/11/2025

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