Contract Details
Ancillary Care Services
Facility name
Comprehensive Medical Access
Provider ID
P000005878
NPI
1073963542
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
6830 Pines Boulevard
Hollywood, FL 33024
United States
County
Broward
Phone
9549875010 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address