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SOMA MEDICAL CENTER PA #4 NPI 1568912699


NPI Information

NPI: 1568912699
Provider Name: SOMA MEDICAL CENTER, PA #4
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D2050582

Address:
4623 FOREST HILL BLVD
SUITE 112
WEST PALM BEACH, FL
ZIP 33415
Phone: (561) 433-0080
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SOMA MEDICAL CENTER, PA #4 is a pediatrics in West Palm Beach, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SOMA MEDICAL CENTER, PA #4 NPI is 1568912699. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4623 FOREST HILL BLVD
SUITE 112
WEST PALM BEACH, FL
ZIP 33415-469
Phone: (561) 433-0080
Fax: (561) 433-1668

The provider's authorized official is Lina Niemczyk Niemczyk .
The authorized official title is Office Manager and has the following contact phone number (561) 433-0080.

The CLIA number assigned to this NPI record is 10D2050582 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2016 and was last updated on 4/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsME102127FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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