Contract Details
Facility name
ConservCare, Inc.
Provider ID
P000002062
NPI
1811211600
Tax ID
593051846
Effective Date
7/15/2008
Last Updated
3/4/2022
Direct Contract
Yes
Term Date
2/28/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
6925 Lake Ellenor Drive Suite 600
Orlando, FL 32809
United States
County
Orange
Phone
4072408428 (Phone)
Billing Details
Address
6925 Lake Ellenor Drive
Suite 600
Orlando, FL 32809
Specialty Type
Orthotics/Prosthetics, Services
Map
Address