| 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 | 12/15/2025 |
| Certification Date | 12/15/2025 |
| Medicare PECOS PAC ID | 8921097171 |
|---|---|
| Medicare Enrollment ID | O20040511001511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164591954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | () | Secondary |
| 103TC0700X | Psychologist - Clinical | () | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | () | Primary |
| 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 | Sara Zenlea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336456888 PECOS PAC ID: 5395939383 Enrollment ID: I20101103001139 |
| Provider Name | Lisa K Lashley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336448760 PECOS PAC ID: 0143406975 Enrollment ID: I20110512000393 |
| Provider Name | Jennifer Foster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689832362 PECOS PAC ID: 2961675376 Enrollment ID: I20120628000305 |
| Provider Name | Daryl R Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588629547 PECOS PAC ID: 0749432524 Enrollment ID: I20121129000490 |
| Provider Name | Marlene Brennen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356779581 PECOS PAC ID: 2466673892 Enrollment ID: I20141028000796 |
| Provider Name | Dimeka D Darville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528476470 PECOS PAC ID: 8729302005 Enrollment ID: I20150114001216 |
| Provider Name | Lisa C Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659574226 PECOS PAC ID: 8628252863 Enrollment ID: I20150713002645 |
| 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 | Karen Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154612190 PECOS PAC ID: 4880023779 Enrollment ID: I20200327001215 |
| Provider Name | Jacqueline Beatriz Cortizo-hernandez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972967701 PECOS PAC ID: 9830488899 Enrollment ID: I20210408000660 |
| 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 | 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 | Stephanie Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275293912 PECOS PAC ID: 7315311966 Enrollment ID: I20230321002745 |
| Provider Name | Eric Malz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598795536 PECOS PAC ID: 6103891973 Enrollment ID: I20230608001677 |
| 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 | Rose Haklits |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285816280 PECOS PAC ID: 1850468661 Enrollment ID: I20240306001440 |
| Provider Name | Danielle Marie Sherlock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972130458 PECOS PAC ID: 2365973732 Enrollment ID: I20241009002961 |
| Provider Name | Cameron Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629372800 PECOS PAC ID: 3072832104 Enrollment ID: I20250221001381 |
| Provider Name | Tiffinny Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790930733 PECOS PAC ID: 2466644935 Enrollment ID: I20251111003033 |
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 |
Jacqueline B Pevny MD PA Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4201 N Ocean Blvd Apt C302, Boca Raton, FL 33431 Phone: 917-699-4391 |
Kegley Counseling, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 N Federal Hwy Ste 206-7, Boca Raton, FL 33431 Phone: 404-496-8849 Fax: 404-591-7909 |
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 |
Aryora LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7284 W Palmetto Park Rd Ste 101, Boca Raton, FL 33433 Phone: 561-336-5787 |
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 |