Eagle Lake Opco LLC
Eagle Lake Opco LLC is a Skilled Nursing Facility in St Petersburg, Florida. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1100 66th St NSt Petersburg, FL 33710-6224
Phone: (914) 548-7617
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|
Record details
| NPI number | 1659265965 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Steven Bicky — Manager · (914) 548-7617 |
| NPI enumerated | June 3, 2025 |
| Last updated in NPPES | June 3, 2025 |
| Certification date | June 3, 2025 |
| Mailing address | 1100 66th St N, St Petersburg, FL 33710-6224 |
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