Contract Details
Ancillary Care Services
Facility name
Imed Urgent Care Center
Provider ID
P000004078
NPI
1235239534
Tax ID
205144486
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
18100 Northeast 19th Avenue
North Miami Beach, FL 33162
United States
County
Miami-Dade
Phone
3059497990 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address