| Florida Memory Care And Neurology Services Llc | |
|
28420 Bonita Crossings Blvd Unit 110 Bonita Springs FL 34135-3203 | |
| (239) 235-0380 | |
| Not Available |
| Full Name | Florida Memory Care And Neurology Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 28420 Bonita Crossings Blvd Unit 110, Bonita Springs, Florida |
| Authorized Official Name and Position | Joshua Tandy (OWNER) |
| Authorized Official Contact | 8015909267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Memory Care And Neurology Services Llc 4179 S Riverboat Rd Ste 220 Taylorsville UT 84123-2986 Ph: (801) 755-3387 | Florida Memory Care And Neurology Services Llc 28420 Bonita Crossings Blvd Unit 110 Bonita Springs FL 34135-3203 Ph: (239) 235-0380 |
| NPI Number | 1700479094 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 03/17/2023 |
| Medicare PECOS PAC ID | 1951719459 |
|---|---|
| Medicare Enrollment ID | O20210422000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700479094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Kelly Marie Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275937179 PECOS PAC ID: 9739401035 Enrollment ID: I20141121002107 |
| Provider Name | April S Stowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003202805 PECOS PAC ID: 2567782881 Enrollment ID: I20150527002149 |
| Provider Name | Robert K Mannel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093073181 PECOS PAC ID: 1658683073 Enrollment ID: I20170804002628 |
| Provider Name | Wally Jamie Plante |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558772061 PECOS PAC ID: 3971801499 Enrollment ID: I20180815001637 |
| Provider Name | Donald Mccarren |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255385662 PECOS PAC ID: 7719988401 Enrollment ID: I20190225001157 |
| Provider Name | Samuel Stephen Giles |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427430370 PECOS PAC ID: 1355629288 Enrollment ID: I20190731001495 |
Alborada Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3376 Woods Edge Circle, Ste 102, Bonita Springs, FL 34134 Phone: 239-948-4063 | |
Healthstar Medical Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10331 Autumn Brz Dr, #202, Bonita Springs, FL 34135 Phone: 239-961-5906 | |
Collier Hma Physician Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8951 Bonita Beach Rd Se Ste 310, Bonita Springs, FL 34135 Phone: 239-348-4221 Fax: 239-354-9509 | |
Medicalmastersorg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9200 Bonita Beach Rd Se Ste 113, Bonita Springs, FL 34135 Phone: 239-908-4711 Fax: 239-444-4702 | |
Robert Sadaty Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9400 Fountain Medical Ct, Suite B100, Bonita Springs, FL 34135 Phone: 239-494-6244 Fax: 239-992-4121 | |
Redi Med Of Bonita Springs Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9400 Bonita Beach Rd Se, Suite 101, Bonita Springs, FL 34135 Phone: 239-498-9294 Fax: 239-498-9179 | |
Dean L Rackleff Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9400 Bonita Beach Rd Se Ste 102, Bonita Springs, FL 34135 Phone: 239-455-9946 Fax: 239-455-9947 |