Healthcare Provider Details

I. General information

NPI: 1184584955
Provider Name (Legal Business Name): SOMA FLEX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 33RD AVE NE
ST PETERSBURG FL
33704-1502
US

IV. Provider business mailing address

300 33RD AVE NE
ST PETERSBURG FL
33704-1502
US

V. Phone/Fax

Practice location:
  • Phone: 727-310-4165
  • Fax:
Mailing address:
  • Phone: 727-310-4165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH THOMPSON
Title or Position: PRESIDENT
Credential:
Phone: 727-310-4165