Adriana    Strimbu    DPM
Contract Details
Ancillary Care Services
Facility name
Provider ID
P000004325
NPI
1346300183
Tax ID
760704617
Effective Date
4/1/2012
Last Updated
10/9/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
404 North Federal Highway
Hallandale Beach, FL 33009
United States
County
Broward
Phone
9544559404 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Podiatry
Map
Address