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NPI Code Detail

MEDICARE: KEVIN SOMAI M.D.

MEDICARE:   KEVIN  SOMAI  M.D.
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
1207R00000XInternal Medicine PhysicianME122923FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568782662
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN SOMAI M.D.
Provider Business Mailing Address
First Line : 330 CORPORATE WAY STE 300
Second Line :
City : ORANGE PARK
State : FL
Zip : 32073-6214
Country : US
Telephone Number : 904-282-6331
Fax Number : 904-866-4818
Provider Business Practice Location Address
First Line : 421 KINGSLEY AVE STE 300
Second Line :
City : ORANGE PARK
State : FL
Zip : 32073-4898
Country : US
Telephone Number : 904-621-0643
Fax Number : 833-576-2330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2010
Last Update Date : 06/18/2026

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Directions to “ KEVIN SOMAI M.D.” Practice Location

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