Healthcare Provider Details

I. General information

NPI: 1194775759
Provider Name (Legal Business Name): PALM BEACH NEUROSURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4560 LANTANA RD STE 120
LAKE WORTH FL
33463-6998
US

IV. Provider business mailing address

4560 LANTANA RD STE 120
LAKE WORTH FL
33463-6998
US

V. Phone/Fax

Practice location:
  • Phone: 561-433-4444
  • Fax: 561-433-8877
Mailing address:
  • Phone: 561-433-4444
  • Fax: 561-433-8877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN A DUTCHER
Title or Position: MANAGING PARTNER
Credential: DO
Phone: 561-433-4444