| NPI | 1780461046 |
|---|---|
| Former Legal Business Name | SOMA MEDICAL CENTER PA 11 |
| Entity Type | Organization |
| Authorized Contact | RAFAEL O NUNEZ Owner 561-964-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |