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1871358853
SOURCE MEDICAL GROUP, LLC
FT LAUDERDALE, FL
NPI
1871358853
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Entity Type
Organization
Authorized Contact
TROY GARR
Ambr
215-570-8300
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2024-02-19
Last Update Date
2024-02-19
Business Address
SOURCE MEDICAL GROUP, LLC
208 SE 8TH ST
FT LAUDERDALE, FL 33316-1014
Phone number: 561-704-6781
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Mailing Address
SOURCE MEDICAL GROUP, LLC
7601 N FEDERAL HWY STE 245A
BOCA RATON, FL 33487-1672
Phone number:
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