Scott    Snyder    DC
Contract Details
Ancillary Care Services
Facility name
Provider ID
P000003735
NPI
1063546810
Tax ID
650077673
Effective Date
4/1/2012
Last Updated
10/2/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
11328 Okeechobee Boulevard Suite 9
Royal Palm Beach, FL 33411
United States
County
Palm Beach
Phone
5617988899 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address