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, WEST PALM BEACH, FL 33406-5854
(561) 964-4577
(561) 275-7134
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME76791
MEDICAL LICENSE
FL
Enumeration date
07/22/2021
Last updated
07/22/2021
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