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Organization
SOUTHGATE ADMINISTRATIVE SERVICES LLC
Active
Organization
SOUTHGATE ADMINISTRATIVE SERVICES LLC
Active
Other names
Doctors Express
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL PEREZ MBA (PRESIDENT)
(561) 306-0376
Entity
Organization
Contact information
Practice address
2004 N FLAMINGO RD, PEMBROKE PINES, FL 33028-3500
(954) 450-8500
Mailing address
6428 DORSAY CT, DELRAY BEACH, FL 33484-6305
(954) 450-8500
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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