SOMA MEDICAL CENTER, PA (NPI# 1750988176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750988176 |
| Entity Type | Organization |
| Organization Name | SOMA MEDICAL CENTER, PA |
| Practice Address |
1301 N Federal Hwy Lake Worth FL 33460-1940 |
| Practice Telephone | 5619644577 |
| Practice Fax Number | 5612757134 |
| Mailing Telephone | 5619644577 |
| Mailing Fax Number | 5612757134 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | MARIA ORTIZ (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5617585016 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOMA MEDICAL CENTER, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467499038 | Soma Medical Center, Pa | Internal Medicine | 3255 Forest Hill Blvd Ste 103, Palm Springs, FL 33406-5854 | 2006-06-01 |
| Street Address |
1301 N FEDERAL HWY |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33460-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821597014 | Denisleydis Denis | Social Worker | 1301 N Federal Hwy, Lake Worth, FL 33460-1940 | 2018-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069694 | Soma Medical Center, P.a. | Internal Medicine | 330 South Dixie Hway, Lake Worth, FL 33460 | 2020-03-25 |
| 1659920072 | Dr G's Pharmacy, Inc | Pharmacy | 127 N Dixie Highway, Lake Worth, FL 33460 | 2019-09-09 |
| 1710542428 | Paul Robert Ahr | Psychologist | 702 N. Lakeside Drive, Lake Worth Beach, FL 33460 | 2019-05-08 |
| 1548732985 | Pickens Allison Gantt IIi | Acupuncturist | 1505 N Federal Hwy, Lake Worth, FL 33460 | 2018-12-26 |
| 1992297634 | Awilda Theodore | Homemaker | 824a Lake Ave, #309, Lake Worth, FL 33460 | 2018-05-30 |
| 1326562646 | Candy Marie Contrerez | Behavior Technician | 1306 S H St, Lake Worth, FL 33460 | 2017-07-28 |
| 1679003602 | Sylvia Grant | Registered Nurse | 919 12th Ave S, Lake Worth, FL 33460 | 2017-06-13 |
| 1720510662 | Jessica Montanez | Technician, Other | 1831 17th Court N, Lake Worth, FL 33460 | 2017-03-30 |
| 1629209630 | Emilia Isaza | Dentist | 325 S. Dixie Hwy, Suite #5, Lake Worth, FL 33460 | 2009-08-07 |
| 1174767909 | Cameron Bishop | Acupuncturist | 1505 North Federal Highway, Lake Worth, FL 33460 | 2009-04-23 |
| Find all providers in zip 33460 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1447466917 | Helping Hand Community Mental Health Center Inc | Clinic/Center | 419 N Dixie Hwy, Lake Worth, FL 33460-3037 | 2007-05-14 |
| 1174027189 | C Five Florida LLC | Clinic/Center | 1926 10th Ave N Ste 410, Lake Worth, FL 33461-3368 | 2018-03-23 |
| 1184004590 | District Clinic Holdings Inc | Clinic/Center | 7408 Lake Worth Rd, Lake Worth, FL 33467 | 2015-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114823 | Community Behavior Care LLC | Clinic/Center | 221 Ne 164th Street, Unit 276, North Miami Beach, FL 33160 | 2020-11-06 |
| 1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
| 1073114278 | Love Family Health Center Corp | Clinic/Center | 313 Palm Ave, Hialeah, FL 33010-4715 | 2020-11-04 |
| 1235730417 | Aspire Health Partners, Inc. | Clinic/Center | 4520 Oak Fair Blvd, Tampa, FL 33610-7356 | 2020-11-04 |
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
| 1790385342 | New Family Wellness Center Inc | Clinic/Center | 8200 Nw 41st St Ste 200-98, Doral, FL 33166-6205 | 2020-10-31 |
| 1619577475 | Prestige Behavioral Health Center, LLC | Clinic/Center | 7318 W 20th Ave, Hialeah, FL 33016-1855 | 2020-10-29 |
| 1255931101 | Pine Grove Counseling LLC | Clinic/Center | 539 Se Van Loon Ter, Cape Coral, FL 33990-1157 | 2020-10-29 |
| 1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WORTH |
| Zip Code | 33460 |
Please comment or provide details below to improve the information on SOMA MEDICAL CENTER, PA.
| 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.