Contract Details
Ancillary Care Services
Facility name
Foot & Ankle Physicians
Provider ID
P000004286
NPI
1326100579
Tax ID
593733310
Effective Date
4/1/2012
Last Updated
10/2/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
88.00
Location Details
Address
2350 Sunset Point Road Suite A
Clearwater, FL 33765
United States
County
Pinellas
Phone
7277960565 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Podiatry
Map
Address