SOMA MEDICAL CENTER PA 7 (NPI# 1740690254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740690254 |
| Entity Type | Organization |
| Organization Name | SOMA MEDICAL CENTER PA 7 |
| Other Organization Name | SOMA MEDICAL CENTER PA 7 |
| Practice Address |
3580 Lake Worth Road Suite 102 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 | 2014-05-06 |
| Authorized Official Name | RAFAEL O NUNEZ (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 56512751155 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME76971 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 255695200 | 05 |
| Other Name | Type Code |
|---|---|
| SOMA MEDICAL CENTER PA 7 | Doing Business As Name - Organization |
| Street Address |
3580 LAKE WORTH ROAD SUITE 102 |
| 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 |
| 1295145704 | Soma Medical Center Pa 6 | Clinic/Center | 3580 Lake Worth Road, Suite 101, 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235528035 | Jacqueline Guillaume | Pediatrics | 9595 Caserta St, Lake Worth, FL 33467-5220 | 2015-01-16 |
| 1184920613 | Soma Medical Center, P. A #4 | Pediatrics | 421 S Dixie Hwy, Lake Worth, FL 33460-4442 | 2011-02-01 |
| 1750693867 | Mercedes Gadea Lopez | Pediatrics | 330 S Dixie Hwy, Suite #3, Lake Worth, FL 33460-4400 | 2010-07-06 |
| 1063566438 | Edelstein Pediatrics | Pediatrics | 5820 Jog Rd, Lake Worth, FL 33467-6511 | 2007-01-23 |
| 1063594190 | Wayne W Yee | Pediatrics | 3900 Boat Club Rd, Lake Worth, TX 76135-3201 | 2006-10-19 |
| 1538253604 | Lawrence Lutner | Pediatrics | 10902 Royal Devon Way, Lake Worth, FL 33467-8652 | 2006-10-03 |
| 1699783183 | Dhruti Pandya | Pediatrics | 4075 S State Road 7 Ste H1, Lake Worth, FL 33449-8152 | 2006-08-03 |
| 1780637975 | Zulma Enid Flores | Pediatrics | 3580 Lake Worth Road, Lake Worth, FL 33460 | 2006-05-18 |
| 1629056536 | Lee Wichner Edelstein | Pediatrics | 6045 Hagen Ranch Rd Ste 4, Lake Worth, FL 33467-7251 | 2006-01-03 |
| 1134118797 | Lisa Simons | Pediatrics | 4075 State Road 7, H1, Lake Worth, FL 33449-8186 | 2005-10-17 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33461 |
Please comment or provide details below to improve the information on SOMA MEDICAL CENTER PA 7.
| 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.