Contract Details
Ancillary Care Services
Facility name
Foot & Ankle Associates
Provider ID
P000004310
NPI
1336360130
Tax ID
650894484
Effective Date
4/1/2012
Last Updated
10/9/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
3659 South Miami Avenue Suite 3003
Miami, FL 33133
United States
County
Miami-Dade
Phone
3058588730 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Podiatry
Map
Address