Contract Details
Ancillary Care Services
Facility name
Comprehensive Medical Access
Provider ID
P000004252
Tax ID
760711606
Effective Date
4/1/2012
Last Updated
5/21/2017
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
96.00
Location Details
Address
11865 Southwest 26th Street Suite G-10
Miami, FL 33175
United States
County
Miami-Dade
Phone
3054484770 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address