Contract Details
Ancillary Care Services
Facility name
Solex Physical Therapy & Wellness Center
Provider ID
P000004197
NPI
1285680660
Tax ID
203392467
Effective Date
4/1/2012
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
2500 Tamiami Trail North Suite 222
Naples, FL 34103
United States
County
Collier
Phone
2396498001 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Physical Therapy
Map
Address