Contract Details
Ancillary Care Services
Facility name
Drs. Horn & Horn
Provider ID
P000003756
NPI
1073610069
Tax ID
650177505
Effective Date
4/1/2012
Last Updated
10/2/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
909 North Miami Beach Boulevard Suite 401
North Miami Beach, FL 33162
United States
County
Miami-Dade
Phone
3059494189 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Podiatry
Map
Address