Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Florida Atlantic University

Organization Family Medicine Physician · NPI 1053736405

Florida Atlantic University is a Family Medicine Physician in Boca Raton, Florida. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
3

Practice location Address checks out

777 Glades Rd Ofc Bldg 1
Boca Raton, FL 33431-6496
Phone: (561) 566-5328
Fax: (561) 299-4220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Alzheimer Center (Dementia Center) (primary) Taxonomy 311500000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1053736405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Louisa Pontiroli-Kelly — Authorized Official · (561) 297-2897
Other names Florida Atlantic University Alzheimer'S Prevention Clinic
NPI enumeratedFebruary 21, 2014
Last updated in NPPESApril 23, 2023
Certification dateApril 23, 2023
Mailing address777 Glades Rd, Office Building 1, Boca Raton, FL 33431-6496

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