Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southfort Family Clinic PC

Organization Family Medicine Physician · NPI 1184801318

Southfort Family Clinic PC is a Family Medicine Physician 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
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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