SOMA MEDICAL CENTER PA 6 (NPI# 1295145704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295145704 |
| Entity Type | Organization |
| Organization Name | SOMA MEDICAL CENTER PA 6 |
| Other Organization Name | SOMA MEDICAL CENTER PA 6 |
| Practice Address |
3580 Lake Worth Road Suite 101 Lake Worth FL 33461 |
| Practice Telephone | 5612751155 |
| Practice Fax Number | 5612751156 |
| Mailing Telephone | 5612751155 |
| Mailing Fax Number | 5612751156 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-08 |
| Authorized Official Name | RAFAEL O NUNEZ (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5612751155 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME0076971 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 255695200 | 05 |
| Other Name | Type Code |
|---|---|
| SOMA MEDICAL CENTER PA 6 | Doing Business As Name - Organization |
| Street Address |
3580 LAKE WORTH ROAD SUITE 101 |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780637975 | Zulma Enid Flores | Pediatrics | 3580 Lake Worth Road, Lake Worth, FL 33460 | 2006-05-18 |
| 1437531290 | Soma Smiles Inc. | Dentist | 3580 Lake Worth Road, Lake Worth, FL 33461 | 2015-06-29 |
| 1740690254 | Soma Medical Center Pa 7 | Pediatrics | 3580 Lake Worth Road, Suite 102, Lake Worth, FL 33461 | 2014-05-06 |
| 1679526826 | Rafael Angel Baez | Internal Medicine | 3580 Lake Worth Road, Internal, Lake Worth, FL 33461 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760958946 | Mohammad T Javed, Mdpa | Clinic/Center | 6169 S Jog Rd Ste B4, Lake Worth, FL 33467-6514 | 2018-10-16 |
| 1003461187 | Hebridas Medical Services Inc | Clinic/Center | 2311 10th Ave N Ste 14, Lake Worth, FL 33461-6605 | 2019-08-06 |
| 1316406143 | Atrinity Point Health Center, LLC | Clinic/Center | 2311 10th Ave N Ste 4, Lake Worth, FL 33461-6605 | 2019-03-19 |
| 1932415635 | Palm Beach Wellness Center LLC | Clinic/Center | 6169 S Jog Rd, Suite B3, Lake Worth, FL 33467-6579 | 2010-08-19 |
| 1386735363 | Jeffrey Lee Matfus | Clinic/Center | 2311 10th Ave N, Suite 14, Lake Worth, FL 33461-6605 | 2006-09-27 |
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|---|---|---|---|---|
| 1174122337 | Life Line Medical Group Inc | Clinic/Center | 12595 Sw 137th Ave Ste 206, Miami, FL 33186-4221 | 2020-10-20 |
| 1558977926 | Ohi West Medical Group, LLC | Clinic/Center | 603 7th St S Ste 350, St Petersburg, FL 33701-4732 | 2020-09-21 |
| 1205441615 | Washington Hills Primary Care | Clinic/Center | 4645 Plantation Oaks Blvd, Orange Park, FL 32065-3652 | 2020-09-11 |
| 1699380329 | Premier Health System LLC | Clinic/Center | 12970 Sw 133rd Ct Ste A, Miami, FL 33186-5806 | 2020-09-10 |
| 1093328163 | Sunmed Group LLC | Clinic/Center | 2499 Glades Rd Ste 305a, Boca Raton, FL 33431-7202 | 2020-08-28 |
| 1790398246 | Emc 360, LLC | Clinic/Center | 1008 Juliette Blvd, Mount Dora, FL 32757-6500 | 2020-08-25 |
| 1720690704 | Celena Vinent Carbonell M.d., P.a. | Clinic/Center | 1001 N Macdill Ave Ste D, Tampa, FL 33607-5152 | 2020-08-20 |
| 1548871866 | 1st Call Primary Care, LLC | Clinic/Center | 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 | 2020-08-11 |
| 1912517152 | Curos Inc | Clinic/Center | 1425 Sw 8th Ct, Ft Lauderdale, FL 33312-7291 | 2020-08-03 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WORTH |
| Zip Code | 33461 |
Please comment or provide details below to improve the information on SOMA MEDICAL CENTER PA 6.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.