Provider Demographics
NPI:1659938827
Name:VINCENT M SOMAIO, MD, LLC
Entity Type:Organization
Organization Name:VINCENT M SOMAIO, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:M
Authorized Official - Last Name:SOMAIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-836-8200
Mailing Address - Street 1:107 SEAGRASS STATION RD
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-9549
Mailing Address - Country:US
Mailing Address - Phone:843-422-4413
Mailing Address - Fax:
Practice Address - Street 1:107 SEAGRASS STATION RD
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-9549
Practice Address - Country:US
Practice Address - Phone:843-836-8200
Practice Address - Fax:843-836-8595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-23
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty