Contract Details
Ancillary Care Services
Facility name
Sapenoff & Harris
Provider ID
P000005190
NPI
1710996905
Tax ID
591718851
Effective Date
4/1/2012
Last Updated
10/1/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
4678 Okeechobee Boulevard
West Palm Beach, FL 33417
United States
County
Palm Beach
Phone
5616891414 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Podiatry
Map
Address