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Southfort Family Clinic PC

Family Medicine Physician in Southgate, MI · enumerated 2008 · authorized official Edward Nazareno, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184801318

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Registry record

Entity type Organization (Type 2)
Legal business name Southfort Family Clinic PC
Practice address 13650 Fort St, Southgate, MI, 48195
Enumeration date Jan 30, 2008
Last updated in NPPES Jan 30, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 4301067719 (MI) Primary

Authorized official

Name Edward Nazareno
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Southfort Family Clinic PC?
The NPI for Southfort Family Clinic PC is 1184801318, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southfort Family Clinic PC?
NPPES lists Edward Nazareno (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-01-30.