Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Radiance Enterprises Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1134413560

Radiance Enterprises Inc is a Durable Medical Equipment & Medical Supplies in Bushnell, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

417 N West St
Bushnell, FL 33513-6021
Phone: (352) 569-5800
Fax: (352) 569-5802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PH25415 (FL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1134413560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Diamond — Pharmacy Manager · (352) 569-5800
Other names Bushnell Pharmacy
NPI enumeratedJune 2, 2011
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023
Mailing address417 N West St, Bushnell, FL 33513-6021

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