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NPI 1700835683

NPI 1700835683 : SOMAX MEDICAL CENTER INC : WEST PALM BEACH, FL

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General NPI Number Information
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    NPI Number           |    1700835683
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOMAX MEDICAL CENTER INC 
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Dates
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    Enumeration Date     |    05/09/2006
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    Last Update Date     |    12/18/2007
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Provider Practice Location Address
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    Address Line         |    1981 S MILITARY TRL 
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    City                 |    WEST PALM BEACH
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    State                |    FL
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    Zip                  |    33415-6405
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    Country              |    US
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    Telephone            |    561-432-3551
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    Fax                  |    561-964-7855
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Provider Business Mailing Address
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    Address Line         |    1981 S MILITARY TRL 
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    City                 |    WEST PALM BEACH
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    State                |    FL
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    Zip                  |    33415-6405
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    Country              |    US
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    Telephone            |    561-432-3551
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    Fax                  |    561-964-7855
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ARTURO  GAZO 
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    Credential           |    MD
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    Telephone            |    561-432-3551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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