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Organization
MEDICAL DEVELOPMENT CORPORATION OF PASCO COUNTY, INC
Active
Organization
MEDICAL DEVELOPMENT CORPORATION OF PASCO COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CECILIA O'RYAN (ADMINISTRATOR)
(727) 868-9563
Entity
Organization
Contact information
Practice address
7315 HUDSON AVE, HUDSON, FL 34667-1158
(727) 868-9563
(727) 869-6909
Mailing address
PO BOX 5485, HUDSON, FL 34674-5485
(727) 868-9563
(727) 869-6909
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
894
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
642
BLUE CROSS
FL
01
—
ASC0000628
WORKMAN COMP
FL
Enumeration date
01/10/2007
Last updated
08/22/2020
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