Contract Details
Ancillary Care Services
Facility name
USA Health & Therapy
Provider ID
P000005299
NPI
1760740302
Tax ID
300238060
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
3434 Northeast 12th Avenue
Oakland Park, FL 33334
United States
County
Broward
Phone
9545636660 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address