NPI 1053736405
Florida Atlantic University
Practice location
- Address
- 777 Glades Rd Office Building 1, Boca Raton, FL 33431-6496
- Phone
- (561) 566-5328
- Fax
- (561) 299-4220
Authorised official
- Name
- Louisa Pontiroli-Kelly
- Title
- Authorized Official
- Phone
- (561) 297-2897
Registered specialties (3)
Alzheimer Center (Dementia Center)
Primary
Family Medicine Physician
Internal Medicine Physician
Registry record
- NPI
- 1053736405
- Entity type
- Organization
- NPI issued
- 21 Feb 2014
- Record last updated
- 23 Apr 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.