Contract Details
Ancillary Care Services
Facility name
Cardiosom of Sarasota
Provider ID
P000003806
NPI
1093781015
Tax ID
113733629
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
2020 Cattlemen Road Suite 400
Sarasota, FL 34232
United States
County
Sarasota
Phone
9413422835 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address