Organization
SOMA MEDICAL CENTER, P.A.
Active
Parent organization
SOMA MEDICAL CENTER, P.A.
Other names
Soma Medical Center PA Port St. Lucie
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOMA MEDICAL CENTER, P.A.
Authorized official
RAFAEL O NUNEZ MD (MEDICAL DIRECTOR, PRESIDENT)
(561) 964-4577
Entity
Organization
Contact information
Practice address
1170 SW BAYSHORE BLVD STE 200, PORT ST LUCIE, FL 34983-2408
(564) 964-4577
Mailing address
3129 S CONGRESS AVE, PALM SPRINGS, FL 33461-2551
(564) 964-4577
(561) 964-4575
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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