Soma Medical Center Pa #8 | |
3325 Forest Hill Blvd Ste A Palm Springs FL 33406-5812 | |
(561) 964-4577 | |
(561) 275-7134 |
Full Name | Soma Medical Center Pa #8 |
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Speciality | Internal Medicine |
Location | 3325 Forest Hill Blvd Ste A, Palm Springs, Florida |
Authorized Official Name and Position | Rafael Nunez (OWNER) |
Authorized Official Contact | 5619644577 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Soma Medical Center Pa #8 3255 Forest Hill Blvd Ste 103 Palm Springs FL 33406-5854 Ph: (561) 964-4577 | Soma Medical Center Pa #8 3325 Forest Hill Blvd Ste A Palm Springs FL 33406-5812 Ph: (561) 964-4577 |
NPI Number | 1710652284 |
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Provider Enumeration Date | 08/16/2021 |
Last Update Date | 07/12/2023 |
Medicare PECOS PAC ID | 2567848427 |
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Medicare Enrollment ID | O20220929001324 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710652284 | NPI | - | NPPES |
000853900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Provider Name | John J Lopera |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417938689 PECOS PAC ID: 3971583907 Enrollment ID: I20050218000616 |
Provider Name | Greta Martin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245951607 PECOS PAC ID: 4486021060 Enrollment ID: I20221110003161 |
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