| Soma Medical Center, P.a. | |
|
1170 Sw Bayshore Blvd Ste 200 Port St Lucie FL 34983-2408 | |
| (564) 964-4577 | |
| Not Available |
| Full Name | Soma Medical Center, P.a. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1170 Sw Bayshore Blvd Ste 200, Port St Lucie, Florida |
| Authorized Official Name and Position | Rafael O Nunez (MEDICAL DIRECTOR, PRESIDENT) |
| Authorized Official Contact | 5619644577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soma Medical Center, P.a. 3129 S Congress Ave Palm Springs FL 33461-2551 Ph: (564) 964-4577 | Soma Medical Center, P.a. 1170 Sw Bayshore Blvd Ste 200 Port St Lucie FL 34983-2408 Ph: (564) 964-4577 |
| NPI Number | 1619765989 |
|---|---|
| Provider Enumeration Date | 04/28/2025 |
| Last Update Date | 04/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619765989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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