Contract Details
Ancillary Care Services
Facility name
General Medical Urgent Care
Provider ID
P000005889
Tax ID
760711606
Effective Date
4/1/2012
Last Updated
10/9/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
96.00
Location Details
Address
9788 Southwest 24th Street
Miami, FL 33165
United States
County
Miami-Dade
Phone
3052290736 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address