Healthcare Provider Details

I. General information

NPI: 1699848408
Provider Name (Legal Business Name): SOUTH FLORIDA BONE MARROW STEM CELL TRANSPLANT INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10301 HAGEN RANCH RD SUITE # 600
BOYNTON BEACH FL
33437-3724
US

IV. Provider business mailing address

10301 HAGEN RANCH RD SUITE # 600
BOYNTON BEACH FL
33437-3724
US

V. Phone/Fax

Practice location:
  • Phone: 561-752-5522
  • Fax: 561-752-5446
Mailing address:
  • Phone: 561-752-5522
  • Fax: 561-752-5446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DIPNARINE MAHARAJ
Title or Position: MEDICAL DIRECTOR
Credential: MB,CHB,MD,FRCP
Phone: 561-752-5522