Contract Details
One Call Care Management
Facility name
One Call Care Dental + Doctor
Provider ID
P000002138
NPI
1093044612
Tax ID
300095279
Effective Date
2/15/2008
Last Updated
6/9/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_062
Location Details
Address
4350 West Cypress Street Suite 1000
Tampa, FL 33607
United States
County
Hillsborough
Phone
8885390577 (Phone)
Billing Details
Address
5100 West Lemon Street
Suite 109
Tampa, FL 33609
Specialty Type
Dentistry
Map
Address