Organization
SAINT PETERSBURG SNF LLC
Active
Other names
Bayside Rehabilitation and Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON OSTROFF (AUTHORIZED MEMBER)
(305) 733-3615
Entity
Organization
Contact information
Practice address
811 JACKSON ST N, ST PETERSBURG, FL 33705-1238
(727) 209-3600
(727) 821-2453
Mailing address
811 JACKSON ST N, ST PETERSBURG, FL 33705-1238
(727) 209-3600
(727) 821-2453
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1250095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030879000
—
FL
Enumeration date
10/09/2005
Last updated
07/02/2008
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