Organization
LAKE PARK SNF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON OSTROFF (OWNER)
(954) 358-1660
Entity
Organization
Contact information
Practice address
750 BAYBERRY DR, LAKE PARK, FL 33403-3248
(561) 881-8144
Mailing address
7491 W OAKLAND PARK BLVD, TAMARAC, FL 33319-4989
(954) 358-1660
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF14720952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030928100
—
FL
Enumeration date
02/24/2006
Last updated
07/03/2008
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