Contract Details
Ancillary Care Services
Facility name
Venus Medical Center
Provider ID
P000005272
NPI
1750574794
Tax ID
264384665
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
8325 West 24 Avenue Suite B-7
Hialeah, FL 33016
United States
County
Miami-Dade
Phone
3058241924 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address