MEDICARE: SOMA MEDICAL CENTER, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QP2300X	Primary Care Clinic/Center	ME0076971	FL
3	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1467499038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOMA MEDICAL CENTER, PA

Provider Business Mailing Address
First Line	:	3255 FOREST HILL BLVD STE 103
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33406-5854
Country	:	US
Telephone Number	:	561-964-4577
Fax Number	:	561-964-7772

Provider Business Practice Location Address
First Line	:	3255 FOREST HILL BLVD STE 103
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33406-5854
Country	:	US
Telephone Number	:	561-964-4577
Fax Number	:	561-964-7772

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. RAFAEL O NUNEZ
Credential	:	MD
Telephone Number	:	561-329-8917

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	07/12/2023

Similar Medicare Providers

1083906259 — EMILY C MOISES DAY TRAINING CENTER
Practice Location Address:

5643 NW 36TH ST
MIAMI SPRINGS, FL
33166-5854

Practice Phone: 305-888-8711
Practice Fax: 305-888-4947

1487233318 — MRS. ADELAIDA FLORITA PATTERSON RN, CDCES
Practice Location Address:

1650 COCHRANE CIRCLE , BLDG 7500 RM 5854
COLORADO SPRINGS, CO
80913-4613

Practice Phone: 719-265-7991
Practice Fax:

1306722145 — CAROLINA BALAGUERA-PALOMO
Practice Location Address:

365 FORESTWAY CIR
ALTAMONTE SPRINGS, FL
32701-5854

Practice Phone: 786-985-9832
Practice Fax:

1003674573 — LAZARO ANTONIO MACHADO SANCHEZ APRN
Practice Location Address:

3255 FOREST HILL BLVD STE 103
WEST PALM BEACH, FL
33406-5854

Practice Phone: 561-964-4577
Practice Fax: 561-964-4572

1093807752 — DAVID MANDELBLUM MD
Practice Location Address:

3255 FOREST HILL BLVD STE 103
WEST PALM BEACH, FL
33406-5854

Practice Phone: 561-964-4577
Practice Fax: 561-964-7772

1205005923 — JUANA BORDELEAU APRN
Practice Location Address:

3255 FOREST HILL BLVD STE 103
WEST PALM BEACH, FL
33406-5854

Practice Phone: 561-964-4577
Practice Fax: 561-964-4572

Directions to “SOMA MEDICAL CENTER, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.