Healthcare Provider Details

I. General information

NPI: 1770401556
Provider Name (Legal Business Name): CAPRISE BURROWES SPECIALIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1141 LANDAU ST
HOLIDAY FL
34690-5932
US

IV. Provider business mailing address

1141 LANDAU ST
HOLIDAY FL
34690-5932
US

V. Phone/Fax

Practice location:
  • Phone: 727-226-5033
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: