# SOMA MEDICAL CENTER, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOMA MEDICAL CENTER, P.A.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033782552
- **Legal business name:** SOMA MEDICAL CENTER, P.A.
- **Authorized official:** RAFAEL O NUNEZ MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (561) 964-4577

## Contact information

- **Practice address:** 3325 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-5812
- **Practice address phone:** (561) 964-4577
- **Practice address fax:** (561) 275-7134
- **Mailing address:** 3255 FOREST HILL BLVD STE 103, PALM SPRINGS, FL 33406-5854
- **Mailing address phone:** (561) 964-4577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2021
- **Last updated:** 07/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ME76971 | MEDICAL LICENSE | FL |