Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Soma Medical Center, PA #4

Organization Pediatrics Physician · NPI 1568912699

Soma Medical Center, PA #4 provides Pediatrics Physician services in West Palm Beach, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4623 Forest Hill Blvd Ste 112
West Palm Beach, FL 33415-7469
Phone: (561) 433-0080
Fax: (561) 433-1668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME102127 (FL)

Record details

NPI number1568912699
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSoma Medical Center, PA #4
Authorized official Lina Niemczyk Niemczyk — Office Manager · (561) 433-0080
NPI enumeratedOctober 13, 2016
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021
Mailing address4623 Forest Hill Blvd, Suite 112, West Palm Beach, FL 33415-7469

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