Contract Details
Facility name
Scojo Enterprises
Provider ID
P000002395
NPI
1245673243
Tax ID
650026858
Effective Date
11/1/2003
Last Updated
8/29/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
21404 West Dixie Highway
Aventura, FL 33180
United States
County
Miami-Dade
Phone
8008266352 (Phone)
Billing Details
Address
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address