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Organization
MDK VENTURES LLC
Active
Organization
MDK VENTURES LLC
Active
Other names
Medical Department Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN WILLIAM MCCORD (MANAGING MEMBER)
(941) 232-8585
Entity
Organization
Contact information
Practice address
1180 JACARANDA BLVD, VENICE, FL 34292-4501
(941) 497-2273
(877) 497-1030
Mailing address
1180 JACARANDA BLVD, VENICE, FL 34292-4501
(941) 497-2273
(877) 497-1030
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HME 1608
FL
332BC3200X
Customized Equipment (DME)
HME 1608
FL
332BN1400X
Nursing Facility Supplies (DME)
HME 1608
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
HME 1608
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
HME 1608
FL
335E00000X
Prosthetic/Orthotic Supplier
HME 1608
FL
Other
Enumeration date
07/01/2005
Last updated
02/27/2023
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