Organization Active NPI

Florida Memory Care and Neurology Services LLC

  • Multi-Specialty Clinic/Center
  • Bonita Springs, FL
National Provider Identifier
1700479094
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
FLORIDA MEMORY CARE AND NEUROLOGY SERVICES LLC
Practice address
28420 Bonita Crossings Blvd Unit 110
Bonita Springs, FL 34135-3203
Phone
(239) 235-0380
NPI assigned
Feb 17, 2021
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Joshua TandyNPI 1285313924
Title
Owner
Phone
(801) 590-9267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

28420 Bonita Crossings Blvd Unit 110
Bonita Springs, FL 34135-3203

Mailing address

4179 S Riverboat Rd Ste 220
Taylorsville, UT 84123-2986
Phone (801) 755-3387

Other practice location 1

1680 The Greens Way Ste 200
Jacksonville, FL 32250-1422
Phone (904) 800-7380

Other practice location 2

8360 Sierra Meadows Blvd # 100
Naples, FL 34113-7328
Phone (239) 744-2175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422000697 FL Part B Supplier - Clinic/Group Practice 1951719459 Receives reassigned benefits from 7 practitioners
Practice locations: Bonita Springs, FL; Jacksonville Beach, FL; Naples, FL

National Provider Directory

National Provider Directory

Locations

28420 Bonita Crossings Blvd
Unit 110
Bonita Springs, FL 34135
Phone (239) 235-0380

1680 The Greens Way
Ste 200
Jacksonville Beach, FL 32250
Phone (904) 800-7380

8360 Sierra Meadows Blvd
#100
Naples, FL 34113
Phone (239) 744-2175

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1700479094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 S RIVERBOAT RD STE 220",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232986",
            "telephone_number": "801-755-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28420 BONITA CROSSINGS BLVD UNIT 110",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341353203",
            "telephone_number": "239-235-0380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1680 The Greens Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322501422",
            "country_code": "US",
            "telephone_number": "904-800-7380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8360 Sierra Meadows Blvd # 100",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341137328",
            "country_code": "US",
            "telephone_number": "239-744-2175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA MEMORY CARE AND NEUROLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "TANDY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-590-9267"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.