Healthcare Provider Details

I. General information

NPI: 1154452035
Provider Name (Legal Business Name): HEMATOLOGY ONCOLOGY ASSOCIATES OF THE PALM BEACHES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 S CONGRESS AVE STE 103
BOYNTON BEACH FL
33426-7400
US

IV. Provider business mailing address

3450 LANTANA RD STE 100
LAKE WORTH FL
33462-1304
US

V. Phone/Fax

Practice location:
  • Phone: 561-732-2440
  • Fax: 561-732-4109
Mailing address:
  • Phone: 561-965-1864
  • Fax: 561-967-5005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SURENDRA SIRPAL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 561-965-1864