Healthcare Provider Details

I. General information

NPI: 1598685034
Provider Name (Legal Business Name): SOMINI S JOSEPH PMHNP BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12421 N FLORIDA AVE STE 115B
TAMPA FL
33612-4276
US

IV. Provider business mailing address

10537 CANARY ISLE DR
TAMPA FL
33647-2718
US

V. Phone/Fax

Practice location:
  • Phone: 813-702-1863
  • Fax:
Mailing address:
  • Phone: 813-528-2783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number9260756
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: