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SOUTHFORT FAMILY CLINIC PC
NPI 1184801318
Family Medicine in Southgate, MI

Active since January 30, 2008
13650 FORT ST, SOUTHGATE, MI 48195(734) 281-2150 Get Directions Write a Review

NPPES record last updated: January 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southfort Family Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHFORT FAMILY CLINIC PC (NPI 1184801318) is a healthcare organization registered as a family medicine in Southgate, Michigan and active in the NPI registry since January 2008. The organization lists Edward Nazareno, President, as its authorized official.

NPPES Registry Identity

NPI1184801318
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHFORT FAMILY CLINIC PC
Location Address13650 FORT STSouthgate, MI 48195-1152
Mailing Address13650 Fort StSouthgate, MI 48195-1152 · (734) 281-2150
Phone(734) 281-2150
Organization SubpartNo
Authorized OfficialEdward NazarenoPresident · (734) 281-2150
Enumeration DateJanuary 30, 2008
✔ NPI 1184801318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301067719
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13650 FORT ST, Southgate, MI 48195
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDWARD NAZARENO M.D.
Family Medicine
13650 FORT ST
SOUTHGATE, MI 48195
Wayne County (734) 281-2150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southfort Family Clinic PC's NPI number?

The NPI number for Southfort Family Clinic PC is 1184801318. It was assigned to this organization in the NPPES registry on January 30, 2008.

Where is Southfort Family Clinic PC located?

Southfort Family Clinic PC is located at 13650 Fort St, Southgate, MI 48195. The listed phone number is (734) 281-2150.

What is Southfort Family Clinic PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Southfort Family Clinic PC was last updated on January 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.