# PERFUSION.COM, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PDC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144641093
- **Authorized official:** MR. BRYAN V LICH CCP (PRESIDENT)
- **Authorized official phone:** (888) 499-5672

## Contact information

- **Practice address:** 17080 SAFETY ST STE 109, FORT MYERS, FL 33908-7506
- **Practice address phone:** (888) 499-5672
- **Practice address fax:** (888) 501-0844
- **Mailing address:** 17080 SAFETY ST STE 109, FORT MYERS, FL 33908-7506
- **Mailing address phone:** (888) 499-5672
- **Mailing address fax:** (888) 501-0844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 242T00000X | Perfusionist | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2013
- **Last updated:** 05/30/2014