Organization
SOMA MEDICAL CENTER PA 6
Active
Other names
SOMA MEDICAL CENTER PA 6
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL O NUNEZ MD (MEDICAL DIRECTOR)
(561) 275-1155
Entity
Organization
Contact information
Practice address
3580 LAKE WORTH RD, PALM SPRINGS, FL 33461-4029
(561) 275-1155
(561) 275-1156
Mailing address
3580 LAKE WORTH RD, PALM SPRINGS, FL 33461-4029
(561) 275-1155
(561) 275-1156
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME0076971
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255695200
—
FL
Enumeration date
05/06/2014
Last updated
04/18/2022
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