SOMA MEDICAL CENTER P.A. NPI 1619765989

NPI Information

  • NPI: 1619765989
  • Provider Name: SOMA MEDICAL CENTER, P.A.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1170 SW BAYSHORE BLVD STE 200
    PORT ST LUCIE, FL
    ZIP 34983
  • Phone: (564) 964-4577

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NPI Details

SOMA MEDICAL CENTER, P.A. is a primary care clinic center in Port St Lucie, FL. SOMA MEDICAL CENTER, P.A. NPI is 1619765989. The provider is registered as an organization entity type.

The provider's business location address is:

1170 SW BAYSHORE BLVD STE 200
PORT ST LUCIE, FL
ZIP 34983-408
Phone: (564) 964-4577

The provider's authorized official is Rafael O Nunez .
The authorized official title is Medical Director, President and has the following contact phone number (561) 964-4577.

The enumeration date for this NPI number is 4/28/2025 and was last updated on 4/28/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

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