Source Medical Group, Llc

LBN: Source Medical Group, Llc
Source Medical Group, Llc is an health care organization with primary practice located at 208 Se 8Th St , Ft Lauderdale FL 33316-1014. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Source Medical Group, Llc can be contacted via phone (561) 704-6781, or through Garr, Troy via phone (215) 570-8300.

Contact Information

Primary practice address
208 Se 8Th St Ft Lauderdale FL 33316-1014
Phone: (561) 704-6781
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Garr, Troy
Phone: (215) 570-8300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1871358853
LBN Legal business name Source Medical Group, Llc
DBA Doing business as
Authorized official Garr, Troy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2024
Last updated Feb 19th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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