=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881990802
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOMA MEDICAL CENTER, PA 2
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/09/2011
-----------------------------------------------------
Last Update Date | 01/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3145 S CONGRESS AVE STE B
-----------------------------------------------------
City | PALM SPRINGS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33461-2553
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-360-2034
-----------------------------------------------------
Fax | 561-360-2650
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3145 S CONGRESS AVE STE B
-----------------------------------------------------
City | PALM SPRINGS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33461-2553
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-360-2034
-----------------------------------------------------
Fax | 561-360-2650
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE
-----------------------------------------------------
Name | MRS. PAOLA A ALOMI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 561-360-2034
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | ME101616
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------