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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