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NPI 1154452035

NPI 1154452035 : HEMATOLOGY ONCOLOGY ASSOCIATES OF THE PALM BEACHES : BOYNTON BEACH, FL

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General NPI Number Information
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    NPI Number           |    1154452035
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEMATOLOGY ONCOLOGY ASSOCIATES OF THE PALM BEACHES 
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Dates
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    Enumeration Date     |    03/09/2007
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    Last Update Date     |    01/22/2025
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Provider Practice Location Address
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    Address Line         |    2300 S CONGRESS AVE STE 103 
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33426-7400
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    Country              |    US
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    Telephone            |    561-732-2440
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    Fax                  |    561-732-4109
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Provider Business Mailing Address
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    Address Line         |    3450 LANTANA RD STE 100 
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    City                 |    LAKE WORTH
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    State                |    FL
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    Zip                  |    33462-1304
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    Country              |    US
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    Telephone            |    561-965-1864
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    Fax                  |    561-967-5005
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. SURENDRA  SIRPAL 
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    Credential           |    M.D.
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    Telephone            |    561-965-1864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    
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    License Number State |    
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