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NPI Code Detail

MEDICARE: CELINE SPARKES

MEDICARE: CELINE SPARKES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA9121759FL

General Provider Information

NPI Number : 1396683074
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELINE SPARKES
Provider Business Mailing Address
First Line : 9801 BELVEDERE RD
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-3640
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9801 BELVEDERE RD
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-3640
Country : US
Telephone Number : 407-745-8725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 05/19/2026

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Directions to “ CELINE SPARKES ” Practice Location

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