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Contract Details
Ancillary Care Services
Facility name
Doctors Urgent Care
Provider ID
P000005932
Tax ID
760711606
Effective Date
8/6/2012
Last Updated
10/9/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
96.00
Location Details
Address
311 South Cypress Road
Pompano Beach, FL 33060
United States
County
Broward
Phone
9547817248
(
Phone
)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
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Address