Contract Details
Ancillary Care Services
Facility name
Emery Medical Solutions
Provider ID
P000005402
NPI
1801954045
Tax ID
593174634
Effective Date
4/1/2012
Last Updated
10/2/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
2151 East Semoran Boulevard
Apopka, FL 32703
United States
County
Orange
Phone
4076289100 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address