Memory And Wellness Center

LBN: Florida Atlantic University
Memory And Wellness Center is an health care organization with primary practice located at 777 Glades Rd Bldg Az-79, Boca Raton FL 33431-6424. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is the primary health care specialty. Florida Atlantic University can be contacted via phone (561) 297-0502, or through Pontiroli-Kelly, Louisa via phone (561) 297-2897.

Contact Information

Primary practice address
777 Glades Rd Bldg Az-79 Boca Raton FL 33431-6424
Phone: (561) 297-0502
Fax: (561) 297-0505
Website:
Map and Directions
Authorized official contact:
Name: Pontiroli-Kelly, Louisa
Phone: (561) 297-2897

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X

Profile Details

NPI number 1164591954
LBN Legal business name Florida Atlantic University
DBA Doing business as Memory And Wellness Center
Authorized official Pontiroli-Kelly, Louisa
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 7th, 2006
Last updated Apr 15th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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