| Soma Medical Center .pa #6 | |
|
4775 N Congress Ave Boynton Beach FL 33426-7941 | |
| (561) 328-8631 | |
| (561) 557-4910 |
| Full Name | Soma Medical Center .pa #6 |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4775 N Congress Ave, Boynton Beach, Florida |
| Authorized Official Name and Position | Rafael O Nunez (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 5615304112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soma Medical Center .pa #6 3580 Lake Worth Rd Lake Worth FL 33461 Ph: () - | Soma Medical Center .pa #6 4775 N Congress Ave Boynton Beach FL 33426-7941 Ph: (561) 328-8631 |
| NPI Number | 1609449362 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 01/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609449362 | NPI | - | NPPES |
| 01434400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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