Healthcare Provider Details

I. General information

NPI: 1962434969
Provider Name (Legal Business Name): HEMATOLOGY ONCOLOGY ASSOCIATES OF THE PALM BEACHES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 LANTANA RD SUTIE 100
LAKE WORTH FL
33462-1329
US

IV. Provider business mailing address

3450 LANTANA RD SUITE 100
LAKE WORTH FL
33462-1329
US

V. Phone/Fax

Practice location:
  • Phone: 561-965-1864
  • Fax: 561-967-5005
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 K. SIRPAL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 561-965-1864