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Organization

SOMA MEDICAL CENTER, PA #4

Active
Parent organization
SOMA MEDICAL CENTER. PA #4
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOMA MEDICAL CENTER. PA #4
Authorized official
LINA NIEMCZYK (OFFICE MANAGER)
(561) 964-1181
Entity
Organization

Contact information

Practice address
1840 FOREST HILL BLVD, SUITE 101, WEST PALM BEACH, FL 33406-6063
(561) 964-1181
(561) 964-1196
Mailing address
1840 FOREST HILL BLVD, SUITE 101, WEST PALM BEACH, FL 33406-6063
(561) 964-1181
(561) 964-1196

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME108898
FL

Other

Enumeration date
09/26/2016
Last updated
04/02/2021
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