Contract Details
Ancillary Care Services
Facility name
Urgent Med of Davie
Provider ID
P000005593
NPI
1902994908
Tax ID
760711606
Effective Date
4/1/2012
Last Updated
10/9/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
96.00
Location Details
Address
2337 South University Drive
Davie, FL 33324
United States
County
Broward
Phone
9544239234 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Urgent Care Facility
Map
Address