Contract Details
Ancillary Care Services
Facility name
Heart Study Center
Provider ID
P000005854
Tax ID
593444646
Effective Date
4/1/2012
Last Updated
10/2/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
10244 East Colonial Drive Suite 107
Orlando, FL 32817
United States
County
Orange
Phone
4072774808 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address