Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Soma Medical Center, PA #4

Organization Pediatrics Physician · NPI 1568912699

Soma Medical Center, PA #4 is a Pediatrics Physician in West Palm Beach, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4623 Forest Hill Blvd Ste 112
West Palm Beach, FL 33415-7469
Phone: (561) 433-0080
Fax: (561) 433-1668
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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 number1568912699
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSoma Medical Center, PA #4
Authorized official Lina Niemczyk Niemczyk — Office Manager · (561) 433-0080
NPI enumeratedOctober 13, 2016
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021
Mailing address4623 Forest Hill Blvd, Suite 112, West Palm Beach, FL 33415-7469

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