# CONVERSION AMERICA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518435213
- **Authorized official:** TAISHA A DE AZA (CEO)
- **Authorized official phone:** (954) 263-2100

## Contact information

- **Practice address:** 3101 PORT ROYALE BLVD APT 1133, FORT LAUDERDALE, FL 33308-7825
- **Practice address phone:** (954) 263-2100
- **Mailing address:** 3101 PORT ROYALE BLVD APT 1133, FORT LAUDERDALE, FL 33308-7825
- **Mailing address phone:** (954) 263-2100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/12/2018
- **Last updated:** 11/12/2018