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 NIEMCZYK (OFFICE MANAGER)
(561) 433-0080
Entity
Organization
Contact information
Practice address
4623 FOREST HILL BLVD, SUITE 112, WEST PALM BEACH, FL 33415-7469
(561) 433-0080
(561) 433-1668
Mailing address
4623 FOREST HILL BLVD, SUITE 112, WEST PALM BEACH, FL 33415-7469
(561) 433-0080
(561) 433-1668
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME102127
FL
Other
Enumeration date
10/13/2016
Last updated
04/02/2021
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