My Memory Care LLC
Internal Medicine, Geriatric Medicine in Viera, FL. Organization (NPI-2).
NPI number1144973751
StatusActive
Last updated in NPPESMar 21, 2025
Details
- NPI
- 1144973751
- Entity type
- Organization (NPI-2)
- Legal business name
- My Memory Care LLC
- Organization subpart
- No
- Enumeration date
- Feb 2, 2022
- Certification date
- Mar 21, 2025
- Last updated
- Mar 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | – | – | Yes |
Other names
- My Memory Clinic (Doing Business As)
Practice location
7000 Spyglass Ct Ste 501Viera, FL 32940-8747
Phone 321-247-7063 · Fax 321-222-5256
Mailing address
7000 Spyglass Ct Ste 501Viera, FL 32940-8288
Phone 321-247-7063 · Fax 321-222-5256
Authorized official
Maureen Ann Rabazinski
Chief Clinical Officer
3212477063
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