Healthcare Provider Details

I. General information

NPI: 1003745209
Provider Name (Legal Business Name): BLIY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3305 SW 3RD ST
CAPE CORAL FL
33991-1014
US

IV. Provider business mailing address

3305 SW 3RD ST
CAPE CORAL FL
33991-1014
US

V. Phone/Fax

Practice location:
  • Phone: 239-318-0403
  • Fax:
Mailing address:
  • Phone: 239-318-0403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MS. CARIDAD ROCIO GARCIA
Title or Position: OWNER
Credential:
Phone: 239-318-0403