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Organization
CONVERSION AMERICA, LLC
Active
Organization
CONVERSION AMERICA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAISHA A DE AZA (CEO)
(954) 263-2100
Entity
Organization
Contact information
Practice address
3101 PORT ROYALE BLVD APT 1133, FORT LAUDERDALE, FL 33308-7825
(954) 263-2100
Mailing address
3101 PORT ROYALE BLVD APT 1133, FORT LAUDERDALE, FL 33308-7825
(954) 263-2100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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