Organization
PALM BEACH NEUROSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ILANA SPRAGUE PA-C (PHYSICIAN ASSISTANT)
(248) 505-9648
Entity
Organization
Contact information
Practice address
3319 STATE ROAD 7, SUITE 313, WELLINGTON, FL 33449-8094
(561) 433-4444
Mailing address
1111 E SUNRISE BLVD, APT #603, FORT LAUDERDALE, FL 33304-2847
(248) 505-9648
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9110078
FL
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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