| Memory And Wellness Center | |
|
777 Glades Rd Bldg Az-79 Boca Raton FL 33431-6424 | |
| (561) 297-0502 | |
| (561) 297-0505 |
| Full Name | Memory And Wellness Center |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 777 Glades Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Louisa Pontiroli-kelly (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5612972897 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memory And Wellness Center 777 Glades Rd Bldg Az-79 Boca Raton FL 33431-6424 Ph: (561) 297-0502 | Memory And Wellness Center 777 Glades Rd Bldg Az-79 Boca Raton FL 33431-6424 Ph: (561) 297-0502 |
| NPI Number | 1164591954 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 04/15/2023 |
| Certification Date | 04/15/2023 |
| Medicare PECOS PAC ID | 8921097171 |
|---|---|
| Medicare Enrollment ID | O20040511001511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164591954 | NPI | - | NPPES |
| Provider Name | Maria De Los Angeles Ortega Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811084460 PECOS PAC ID: 0042301467 Enrollment ID: I20070814000304 |
| Provider Name | Leon A Poveda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508801242 PECOS PAC ID: 0244323632 Enrollment ID: I20070830000214 |
| Provider Name | Joseph Ouslander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780783647 PECOS PAC ID: 9638244361 Enrollment ID: I20080814000751 |
| Provider Name | Joanna L Drowos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679791115 PECOS PAC ID: 2961560347 Enrollment ID: I20081029000551 |
| Provider Name | Lisa K Lashley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336448760 PECOS PAC ID: 0143406975 Enrollment ID: I20110512000393 |
| Provider Name | Debra J Hain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932139482 PECOS PAC ID: 5193989390 Enrollment ID: I20120620000447 |
| Provider Name | Jennifer Foster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689832362 PECOS PAC ID: 2961675376 Enrollment ID: I20120628000305 |
| Provider Name | Parool Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093929234 PECOS PAC ID: 8628126604 Enrollment ID: I20120717000017 |
| Provider Name | Daryl R Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588629547 PECOS PAC ID: 0749432524 Enrollment ID: I20121129000490 |
| Provider Name | Mary E. Stone-duffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851467914 PECOS PAC ID: 0345485348 Enrollment ID: I20130322000067 |
| Provider Name | Marlene Brennen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356779581 PECOS PAC ID: 2466673892 Enrollment ID: I20141028000796 |
| Provider Name | Tracian P Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467824904 PECOS PAC ID: 2062710098 Enrollment ID: I20160407001378 |
| Provider Name | Debbie Gardener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396139226 PECOS PAC ID: 0446558308 Enrollment ID: I20160411001512 |
| Provider Name | Leonard Berkowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588659353 PECOS PAC ID: 7911072970 Enrollment ID: I20170816002485 |
| Provider Name | Monica Roundtree Cleckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669772125 PECOS PAC ID: 3072888098 Enrollment ID: I20171002000921 |
| Provider Name | Shonte A Fraser Damas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538576301 PECOS PAC ID: 0648546341 Enrollment ID: I20171025000697 |
| Provider Name | Beth King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952819203 PECOS PAC ID: 7113281403 Enrollment ID: I20180515000637 |
| Provider Name | Kelly Steele |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083963052 PECOS PAC ID: 6800221375 Enrollment ID: I20200113000281 |
| Provider Name | Terry Lee Clark |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255734018 PECOS PAC ID: 9739514738 Enrollment ID: I20200122000979 |
| Provider Name | Safiya Dalmida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417986704 PECOS PAC ID: 8527060607 Enrollment ID: I20200325001537 |
| Provider Name | Karen Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154612190 PECOS PAC ID: 4880023779 Enrollment ID: I20200327001215 |
| Provider Name | Julie Georgia Pilitsis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861559163 PECOS PAC ID: 7416040845 Enrollment ID: I20220218002170 |
| Provider Name | Alice Wead Brumley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942941497 PECOS PAC ID: 7416334057 Enrollment ID: I20220519001789 |
| Provider Name | Alexander S Rackman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255775805 PECOS PAC ID: 1456642800 Enrollment ID: I20220604000100 |
| Provider Name | Kimberly A Hue-laing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760147367 PECOS PAC ID: 3072994375 Enrollment ID: I20220718003297 |
| Provider Name | Julian Alfonso Abruna Miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609336858 PECOS PAC ID: 3971845918 Enrollment ID: I20220914003413 |
| Provider Name | Branson J Collins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588096804 PECOS PAC ID: 1759501745 Enrollment ID: I20220927000752 |
| Provider Name | Michael R Dobbs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689668865 PECOS PAC ID: 9830123777 Enrollment ID: I20230803003270 |
| Provider Name | Kaelonni S Dorcius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710618186 PECOS PAC ID: 8022462936 Enrollment ID: I20230926004282 |
| Provider Name | Jessica Priest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609363084 PECOS PAC ID: 7618229493 Enrollment ID: I20231102000970 |
| Provider Name | Rose Haklits |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285816280 PECOS PAC ID: 1850468661 Enrollment ID: I20240306001440 |
| Provider Name | Caroline Elliott |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760944268 PECOS PAC ID: 6507195856 Enrollment ID: I20240403002055 |
| Provider Name | Rosson W Wiebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659707354 PECOS PAC ID: 4789812264 Enrollment ID: I20240501003449 |
Meryl B. Rome, Md, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 W Camino Real, Ste. 207, Boca Raton, FL 33433 Phone: 561-391-2770 Fax: 561-391-2930 | |
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Lifetime Health Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 433 Plaza Real Ste 275, Boca Raton, FL 33432 Phone: 786-226-5377 | |
Creative Minds Aba Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 N Dixie Hwy Ste 122, Boca Raton, FL 33432 Phone: 305-305-3181 | |
Ronald L Seifer Ph D Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 W Camino Real, Suite 230, Boca Raton, FL 33433 Phone: 561-699-7455 Fax: 954-340-3407 | |
James Cocores Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5301 N Federal Hwy, Suite 270, Boca Raton, FL 33487 Phone: 561-989-9393 Fax: 561-989-9369 |