Healthcare Provider Details

I. General information

NPI: 1033790050
Provider Name (Legal Business Name): SOMA MEDICAL CENTER PA 7
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 08/13/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4777 N CONGRESS AVE
BOYNTON BEACH FL
33426-7941
US

IV. Provider business mailing address

4777 N CONGRESS AVE
BOYNTON BEACH FL
33426-7941
US

V. Phone/Fax

Practice location:
  • Phone: 561-281-4707
  • Fax:
Mailing address:
  • Phone: 561-328-8712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: PAOLA A ALOMIA
Title or Position: PRACTICE ADM
Credential:
Phone: 561-281-4707