Contract Details
Facility name
Marker Chiropractic Associates, Inc
Provider ID
P000005302
NPI
1770561557
Tax ID
650988642
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
2212 Cleveland Ave
Fort Myers, FL 33901
United States
County
Lee
Phone
2393346418 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address