# MEDICAL DEVELOPMENT COMPANY OF NEVADA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053866434
- **Authorized official:** MRS. LISA D HANSHEW (BUSINESS MANAGER)
- **Authorized official phone:** (727) 868-9563

## Contact information

- **Practice address:** 10195 W TWAIN AVE, SUITE A, LAS VEGAS, NV 89147-6726
- **Practice address phone:** (727) 868-9563
- **Practice address fax:** (727) 869-6909
- **Mailing address:** 7315 HUDSON AVE, HUDSON, FL 34667-1158
- **Mailing address phone:** (727) 868-9563
- **Mailing address fax:** (727) 869-6909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 8701-ASC-0 | NV | Yes |

## Other

- **Enumeration date:** 08/16/2016
- **Last updated:** 01/17/2017