Contract Details
Ancillary Care Services
Facility name
Urgent Care Center of Southwest Florida
Provider ID
P000005340
NPI
1780833509
Tax ID
202923324
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
92.00
Location Details
Address
1708 Cape Coral Parkway West Suite 2
Cape Coral, FL 33914
United States
County
Lee
Phone
2393333333 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address