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Source Medical Group, Llc
Multi-Specialty Clinic/Center in Ft Lauderdale, Florida
NPI 1871358853

Source Medical Group, Llc is a Multi-Specialty Clinic/Center based in Boca Raton, FL and is specialized in Multi-Specialty. Source Medical Group, Llc practices in Ft Lauderdale, FL. The NPI Number for Source Medical Group, Llc is 1871358853 and holds a License No. (Florida).

The current practice location address for Source Medical Group, Llc is 208 Se 8Th St, Ft Lauderdale, FL and can be reached out via phone at 561-704-6781.

Location: 208 Se 8Th St, Ft Lauderdale, FL, 33487-1672
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871358853
Provider Name
Source Medical Group, Llc
Credential
Provider Entity Type
Organization
Address
208 Se 8Th St, Ft Lauderdale, FL, 33487-1672
Phone Number
561-704-6781
Fax Number
Provider Enumeration Date
02/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
208 Se 8Th St
City
Ft Lauderdale
State
Florida
Zip
33316-1014
Phone Number
561-704-6781
Fax Number
person
Provider Business Mailing Address Details
Address
208 Se 8Th St
City
Ft Lauderdale
State
Florida
Zip
33316-1014
Phone Number
561-704-6781
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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