MEDICARE: SOMAX MEDICAL CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1245274042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOMAX MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	1892 ABBEY RD
Second Line	:	STE H
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-5688
Country	:	US
Telephone Number	:	561-432-3551
Fax Number	:

Provider Business Practice Location Address
First Line	:	1892 ABBEY RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-5688
Country	:	US
Telephone Number	:	561-432-3551
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ARTURO GAZO
Credential	:	MD
Telephone Number	:	561-432-3551

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	12/18/2007

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