Provider Demographics
NPI:1245302025
Name:BILGIN INC
Entity type:Organization
Organization Name:BILGIN INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:LUEDTKE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:239-772-8866
Mailing Address - Street 1:1501 VISCAYA PKWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-3299
Mailing Address - Country:US
Mailing Address - Phone:239-772-8866
Mailing Address - Fax:239-772-7117
Practice Address - Street 1:1501 VISCAYA PKWY
Practice Address - Street 2:SUITE 2
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-3299
Practice Address - Country:US
Practice Address - Phone:239-772-8866
Practice Address - Fax:239-772-7117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0004X
FLPH114653336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2008062OtherPK
FL109745801Medicaid
FL109745801Medicaid
0419300001Medicare NSC