Contract Details
Ancillary Care Services
Facility name
Total Family Care
Provider ID
P000005925
Tax ID
760711606
Effective Date
4/1/2012
Last Updated
10/9/2013
Direct Contract
No
Term Date
10/9/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
96.00
Location Details
Address
311 South Cypress Road
Pompano Beach, FL 33060
United States
County
Broward
Phone
9547817248 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address