Contract Details
Ancillary Care Services
Facility name
Healing Urgent Care
Provider ID
P000004688
NPI
1497930093
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
4005 Northwest 114th Street
Doral, FL 33178
United States
County
Miami-Dade
Phone
3055918817 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address