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Lake Park Snf LLC

Skilled Nursing Facility in Lake Park, FL · enumerated 2007 · authorized official Tzvi Bogomilsky, Authorized Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912106683

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Park Snf LLC
Other name <Unavail>
Practice address 750 Bayberry Dr, Lake Park, FL, 33403
Phone (561) 881-8144
Fax (561) 844-8352
Enumeration date Jul 13, 2007
Last updated in NPPES Jul 10, 2013

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Tzvi Bogomilsky
Title Authorized Official
Phone (305) 401-7901

Other identifiers

Identifier Type State Issuer
032516300 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-07-10. Verify at npiregistry.cms.hhs.gov.
Where is Lake Park Snf LLC located?
The practice location on file with NPPES is in Lake Park, FL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-10.