Organization · Type 2 NPI

Source Medical Group, LLC

Multi-Specialty Clinic/Center · Fort Lauderdale, FL

NPI number 1871358853 Active

Practice location

208 SE 8th St
Fort Lauderdale, FL 33316-1014

Mailing address

7601 N Federal Hwy Ste 245A
Boca Raton, FL 33487-1672

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

6 other providers at this address

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About NPI 1871358853

Source Medical Group, LLC's National Provider Identifier is 1871358853, issued on Feb 19, 2024. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Feb 19, 2024.