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Organization

SOMA MEDICAL CENTER .PA #6

Active
Parent organization
SOMA MEDICAL CENTER #6
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOMA MEDICAL CENTER #6
Authorized official
RAFAEL O NUNEZ M.D. (MEDICAL DIRECTOR/OWNER)
(561) 530-4112
Entity
Organization

Contact information

Practice address
4775 N CONGRESS AVE, BOYNTON BEACH, FL 33426-7941
(561) 328-8631
(561) 557-4910
Mailing address
3580 LAKE WORTH RD, LAKE WORTH, FL 33461

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01434400
FL
Enumeration date
07/21/2021
Last updated
01/18/2022
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