Healthcare Provider Details

I. General information

NPI: 1881990802
Provider Name (Legal Business Name): SOMA MEDICAL CENTER, PA 2
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2011
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3145 S CONGRESS AVE STE B
PALM SPRINGS FL
33461-2553
US

IV. Provider business mailing address

3145 S CONGRESS AVE STE B
PALM SPRINGS FL
33461-2553
US

V. Phone/Fax

Practice location:
  • Phone: 561-360-2034
  • Fax: 561-360-2650
Mailing address:
  • Phone: 561-360-2034
  • Fax: 561-360-2650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME101616
License Number StateFL

VIII. Authorized Official

Name: MRS. PAOLA A ALOMI
Title or Position: OFFICE
Credential:
Phone: 561-360-2034