# PALM BEACH NEUROSURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477099596
- **Authorized official:** MS. ILANA SPRAGUE PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (248) 505-9648

## Contact information

- **Practice address:** 3319 STATE ROAD 7, SUITE 313, WELLINGTON, FL 33449-8094
- **Practice address phone:** (561) 433-4444
- **Mailing address:** 1111 E SUNRISE BLVD, APT \#603, FORT LAUDERDALE, FL 33304-2847
- **Mailing address phone:** (248) 505-9648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | PA9110078 | FL | Yes |

## Other

- **Enumeration date:** 01/12/2017
- **Last updated:** 01/12/2017