Contract Details
Ancillary Care Services
Facility name
Comprehensive Medical Access
Provider ID
P000005893
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
1609 East Vine Street
Kissimmee, FL 34744
United States
County
Osceola
Phone
4079441319 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address