| My Memory Clinic | |
|
7000 Spyglass Ct. Ste. 130 Viera FL 32940-4420 | |
| (321) 247-7063 | |
| (321) 222-5256 |
| Full Name | My Memory Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 7000 Spyglass Ct., Viera, Florida |
| Authorized Official Name and Position | Maureen Ann Rabazinski (OWNER) |
| Authorized Official Contact | 4073046274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Memory Clinic 7000 Spyglass Ct Ste 501 Viera FL 32940-8288 Ph: (321) 247-7063 | My Memory Clinic 7000 Spyglass Ct. Ste. 130 Viera FL 32940-4420 Ph: (321) 247-7063 |
| NPI Number | 1144973751 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 07/05/2022 |
| Medicare PECOS PAC ID | 5193107936 |
|---|---|
| Medicare Enrollment ID | O20220727000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144973751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Rosemary D Laird |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1407856131 PECOS PAC ID: 8527094259 Enrollment ID: I20101101001241 |
| Provider Name | Maureen A Rabazinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780058990 PECOS PAC ID: 4183921455 Enrollment ID: I20160331001428 |
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