Organization
ISLF REGENTS PARK WINTER PARK LLC
Active
Other names
Regents Park of Winter Park
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD JAFFE (PRESIDENT)
(215) 346-6454
Entity
Organization
Contact information
Practice address
558 N SEMORAN BLVD, WINTER PARK, FL 32792-2840
(407) 679-1515
(407) 679-0545
Mailing address
1675 PALM BEACH LAKES BLVD STE 400, WEST PALM BEACH, FL 33401-2110
(561) 801-7600
(414) 268-4811
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1469096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026971900
—
FL
Enumeration date
06/10/2005
Last updated
12/18/2019
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