SOURCE MEDICAL GROUP, LLC
NPI 1871358853
Clinic/Center - Multi-Specialty in Ft Lauderdale, FL

Active since February 19, 2024
208 SE 8TH ST, FT LAUDERDALE, FL 33316(561) 704-6781 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Source Medical Group, Llc NPPES

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

SOURCE MEDICAL GROUP, LLC (NPI 1871358853) is a healthcare organization registered as a multi-specialty in Ft Lauderdale, Florida and active in the NPI registry since February 2024. The organization lists Troy Garr, Ambr, as its authorized official.

NPPES Registry Identity

NPI1871358853
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSOURCE MEDICAL GROUP, LLC
Location Address208 SE 8TH STFt Lauderdale, FL 33316-1014
Mailing Address7601 N Federal Hwy Ste 245aBoca Raton, FL 33487-1672
Organization SubpartNo
Authorized OfficialTroy GarrAmbr · (215) 570-8300
Enumeration DateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
NPI 1871358853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
208 SE 8TH ST, Ft Lauderdale, FL 33316

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
208 SE 8TH ST
FORT LAUDERDALE, FL 33316
Psychiatric Residential Treatment Facility
208 SE 8TH ST
FORT LAUDERDALE, FL 33316
Psychologist (Clinical)
208 SE 8TH ST
FORT LAUDERDALE, FL 33316
Counselor (Mental Health)
208 SE 8TH ST
FORT LAUDERDALE, FL 33316
Substance Abuse Rehabilitation Facility
208 SE 8TH ST
FT LAUDERDALE, FL 33316
Substance Abuse Rehabilitation Facility
208 SE 8TH ST
FORT LAUDERDALE, FL 33316

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 Source Medical Group, LLC's NPI number?

The NPI number for Source Medical Group, LLC is 1871358853. It was assigned to this organization in the NPPES registry on February 19, 2024.

Where is Source Medical Group, LLC located?

Source Medical Group, LLC is located at 208 SE 8th St, Ft Lauderdale, FL 33316. The listed phone number is (561) 704-6781.

What is Source Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Source Medical Group, LLC was last updated on February 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.