Contract Details
Facility name
ConservCare, Inc.
Provider ID
P000002062
NPI
1811211600
Tax ID
593051846
Effective Date
7/15/2008
Last Updated
4/23/2013
Direct Contract
Yes
Status
Active
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
Specialty Type
Orthotics/Prosthetics, Services
Map
Address