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General NPI Number Information
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NPI Number | 1023936457
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Entity Type | Organization
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Legal Business Name | SOMA MEDICAL CENTER, P.A.
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 2339 S US HIGHWAY 1
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City | FORT PIERCE
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State | FL
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Zip | 34982-5920
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Country | US
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Telephone | 772-461-1008
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Fax | 772-461-0041
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Provider Business Mailing Address
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Address Line | 2339 S US HIGHWAY
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City | FORT PIERCE
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State | FL
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Zip | 34982
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Country | US
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Telephone | 772-461-1008
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Fax | 772-461-0041
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAFAEL O NUNEZ
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Credential | MD
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Telephone | 561-964-4577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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