My Memory Care LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

MY MEMORY CARE LLC

Practice address

7000 Spyglass CT Ste 501
Viera, FL 32940-8747

Phone

(321) 247-7063

Fax

(321) 222-5256

NPI assigned

Feb 2, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maureen Ann Rabazinski, APRNNPI 1780058990

Title

Chief Clinical Officer

Phone

(321) 247-7063

Specialties & licenses 1

Addresses

Other names 1

• My Memory Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maureen Ann Rabazinski, APRN

  • Gerontology Nurse Practitioner
  • Viera, FL
  • NPI 1780058990
  Medicare reassignment Care Compare group NPD Authorized official
• Rosemary De Angelis Laird, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Viera, FL
  • NPI 1407856131
  Medicare reassignment Care Compare group NPD
• Laurie Helen Bonci, PA-C

  • Physician Assistant
  • Newton Highlands, MA
  • NPI 1265402549

  FL

  Medicare reassignment
• Dara M Diamond, APRN

  • Family Nurse Practitioner
  • Viera, FL
  • NPI 1316802093

  Single Specialty

  NPD
• Stephenie R. Fleegle, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Viera, FL
  • NPI 1467625079
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1144973751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SPYGLASS CT STE 501",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408288",
            "telephone_number": "321-247-7063",
            "fax_number": "321-222-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SPYGLASS CT STE 501",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408747",
            "telephone_number": "321-247-7063",
            "fax_number": "321-222-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MEMORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "RABAZINSKI",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "321-247-7063",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Memory Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Memory Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victor M Montes Jordan, M,D.
• Percival Halcon Moraleda, MD
• Barbara Morse
• Matthew Ryan Moser, PHARMD
• Joyce Michele Musil, PHARMD
• Ronald David Nelson, PHARM.D., BCPP
• Nextgen Pathology
• Angela M Nguyen, MPH
• Jennifer Lynn Nichols, DO
• Russell Lee Norfleet, RPH

• Geriatric Medicine (Internal Medicine) Physician in Viera, FL
• Providers in Viera, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.