Provider Demographics
NPI:1700835683
Name:SOMAX MEDICAL CENTER INC
Entity Type:Organization
Organization Name:SOMAX MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:
Authorized Official - Last Name:GAZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-432-3551
Mailing Address - Street 1:1981 S MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-6405
Mailing Address - Country:US
Mailing Address - Phone:561-432-3551
Mailing Address - Fax:561-964-7855
Practice Address - Street 1:1981 S MILITARY TRL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-6405
Practice Address - Country:US
Practice Address - Phone:561-432-3551
Practice Address - Fax:561-964-7855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ0158AMedicare PIN