Organization
PERFUSION.COM, INC
Active
Other names
PDC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN V LICH CCP (PRESIDENT)
(888) 499-5672
Entity
Organization
Contact information
Practice address
17080 SAFETY ST STE 109, FORT MYERS, FL 33908-7506
(888) 499-5672
(888) 501-0844
Mailing address
17080 SAFETY ST STE 109, FORT MYERS, FL 33908-7506
(888) 499-5672
(888) 501-0844
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
12/19/2013
Last updated
05/30/2014
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