NPI 1063766707

Bayou Shores Snf LLC

Organisation Skilled Nursing Facility Saint Petersburg, FL

Practice location

Address: 435 42nd Ave S, Saint Petersburg, FL 33705-4504
Phone: (727) 822-1871
Fax: (727) 894-0836
Mailing address: 1835 NE Miami Gardens Dr # 368, North Miami Beach, FL 33179-5035

Authorised official

Name: Tzvi Bogomilsky
Title: Authorized Member
Phone: (305) 403-1400

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Florida →

Registry record

NPI: 1063766707
Entity type: Organization
NPI issued: 2 Nov 2012
Record last updated: 2 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.