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General NPI Number Information
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NPI Number | 1699848408
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA BONE MARROW STEM CELL TRANSPLANT INSTITUTE
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10301 HAGEN RANCH RD SUITE # 600
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3724
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Country | US
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Telephone | 561-752-5522
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Fax | 561-752-5446
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Provider Business Mailing Address
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Address Line | 10301 HAGEN RANCH RD SUITE # 600
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3724
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Country | US
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Telephone | 561-752-5522
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Fax | 561-752-5446
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DIPNARINE MAHARAJ
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Credential | MB,CHB,MD,FRCP
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Telephone | 561-752-5522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number |
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License Number State |
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