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Organization
SOMA MEDICAL CENTER, P.A.
Active
Organization
SOMA MEDICAL CENTER, P.A.
Active
Parent organization
SOMA MEDICAL CENTER, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOMA MEDICAL CENTER, P.A.
Authorized official
RAFAEL O NUNEZ MD (MEDICAL DIRECTOR)
(561) 964-4577
Entity
Organization
Contact information
Practice address
3325 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-5812
(561) 964-4577
(561) 275-7134
Mailing address
3255 FOREST HILL BLVD STE 103, PALM SPRINGS, FL 33406-5854
(561) 964-4577
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME76971
MEDICAL LICENSE
FL
Enumeration date
07/22/2021
Last updated
07/22/2021
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