Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southfort Family Clinic PC

Organization Family Medicine Physician · NPI 1184801318

Southfort Family Clinic PC provides Family Medicine Physician services in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13650 Fort St
Southgate, MI 48195-1152 Not confirmed with CMS for 18 years — call before visiting
Phone: (734) 281-2150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301067719 (MI)

Record details

NPI number1184801318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Nazareno — President · (734) 281-2150
NPI enumeratedJanuary 30, 2008
Last updated in NPPESJanuary 30, 2008
Mailing address13650 Fort St, Southgate, MI 48195-1152

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