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
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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