NPI | 1619765989 |
---|---|
Doing Business As | SOMA MEDICAL CENTER PA PORT ST. LUCIE |
Entity Type | Organization |
Authorized Contact | RAFAEL O NUNEZ Medical Director, President 561-964-4577 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2025-04-28 |
Last Update Date | 2025-04-28 |