Healthcare Provider Details

I. General information

NPI: 1245302025
Provider Name (Legal Business Name): BILGIN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 01/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 VISCAYA PKWY SUITE 2
CAPE CORAL FL
33990-3299
US

IV. Provider business mailing address

1501 VISCAYA PKWY SUITE 2
CAPE CORAL FL
33990-3299
US

V. Phone/Fax

Practice location:
  • Phone: 239-772-8866
  • Fax: 239-772-7117
Mailing address:
  • Phone: 239-772-8866
  • Fax: 239-772-7117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH11465
License Number StateFL

VIII. Authorized Official

Name: JON LUEDTKE
Title or Position: SECRETARY
Credential: RPH
Phone: 239-772-8866