SOMA MEDICAL CENTER .PA #6 NPI 1609449362

NPI Information

SOMA MEDICAL CENTER .PA #6 is a primary care clinic center in Boynton Beach, FL. SOMA MEDICAL CENTER .PA #6 NPI is 1609449362. The provider is registered as an organization entity type.

The provider's business location address is:

4775 N CONGRESS AVE
BOYNTON BEACH, FL
ZIP 33426-941
Phone: (561) 328-8631
Fax: (561) 557-4910

The provider's authorized official is Rafael O Nunez .
The authorized official title is Medical Director/owner and has the following contact phone number (561) 530-4112.

The CLIA number assigned to this NPI record is 10D2228699 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2021 and was last updated on 1/18/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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