Bruce    Nadel    DC
Contract Details
Ancillary Care Services
Facility name
Provider ID
P000003998
NPI
1194849778
Tax ID
650244566
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
8380 Southwest 124th Street
Miami, FL 33156
United States
County
Miami-Dade
Phone
3052384800 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address