Source Medical Group, LLC
NPI #1871358853 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1871358853
- Entity Type
- Organization
- Organization Name
- Source Medical Group, LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Feb 19, 2024
- Last Updated
- Feb 19, 2024
Practice Location
- Address
- 208 SE 8TH ST
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33316-1014
- Phone
- (561) 704-6781
Authorized Official
- Name
- TROY GARR
- Title
- AMBR
- Phone
- (215) 570-8300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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