Soma Medical Center, P. a #4
Soma Medical Center, P. a #4 is a Pediatrics Physician in Lake Worth, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
Practice location Address checks out
421 S Dixie HwyLake Worth, FL 33460-4442
Phone: (561) 275-1155
Fax: (561) 275-1156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence ME102127 (FL) |
|---|
Record details
| NPI number | 1184920613 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Soma Medical Center |
| Authorized official | Mercedes Gadea Lopez — Pediatrician · (561) 275-1155 |
| NPI enumerated | February 1, 2011 |
| Last updated in NPPES | December 11, 2019 |
| Certification date | December 11, 2019 |
| Mailing address | 421 S Dixie Hwy, Lake Worth, FL 33460-4442 |
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