Soma Medical Center, P. A #4

LBN: Soma Medical Center, P. A #4
Soma Medical Center, P. A #4 is an health care organization with primary practice located at 421 S Dixie Hwy , Lake Worth FL 33460-4442. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Soma Medical Center, P. A #4 can be contacted via phone (561) 275-1155, or through Gadea Lopez, Mercedes via phone (561) 275-1155.

Contact Information

Primary practice address
421 S Dixie Hwy Lake Worth FL 33460-4442
Phone: (561) 275-1155
Fax: (561) 275-1156
Website:
Map and Directions
Authorized official contact:
Name: Gadea Lopez, Mercedes Doctor of Medicine (MD)
Phone: (561) 275-1155

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME102127 Florida

Profile Details

NPI number 1184920613
LBN Legal business name Soma Medical Center, P. A #4
DBA Doing business as
Authorized official Gadea Lopez, Mercedes Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 1st, 2011
Last updated Dec 11th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184920613 NPPES
Florida MEDICAID 005584600

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