Contract Details
Ancillary Care Services
Facility name
First Choice Urgent Care
Provider ID
P000004184
NPI
1275728248
Tax ID
204296528
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
1945 West County Road 419 Suite 1101
Oviedo, FL 32766
United States
County
Seminole
Phone
4073662890 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address