Contract Details
Ancillary Care Services
Facility name
Comfort Medical Supply
Provider ID
P000002058
NPI
1154482552
Tax ID
203675880
Effective Date
2/15/2011
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
615 South Yonge Street
Ormond Beach, FL 32174
United States
County
Volusia
Phone
3866736902 (Phone)
Billing Details
Address
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address