| NPI | 1598326977 |
|---|---|
| Former Legal Business Name | SOMA MEDICAL INFUSION CENTER PA |
| Entity Type | Organization |
| Authorized Contact | MARIA C ORTIZ Credentialing 561-964-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2021-04-02 |