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Organization
MEDICAL DEVELOPMENT COMPANY OF NEVADA
Active
Organization
MEDICAL DEVELOPMENT COMPANY OF NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA D HANSHEW (BUSINESS MANAGER)
(727) 868-9563
Entity
Organization
Contact information
Practice address
10195 W TWAIN AVE, SUITE A, LAS VEGAS, NV 89147-6726
(727) 868-9563
(727) 869-6909
Mailing address
7315 HUDSON AVE, HUDSON, FL 34667-1158
(727) 868-9563
(727) 869-6909
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
8701-ASC-0
NV
Other
Enumeration date
08/16/2016
Last updated
01/17/2017
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