# MDK VENTURES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Department Store
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043217391
- **Authorized official:** MR. KEVIN WILLIAM MCCORD (MANAGING MEMBER)
- **Authorized official phone:** (941) 232-8585

## Contact information

- **Practice address:** 1180 JACARANDA BLVD, VENICE, FL 34292-4501
- **Practice address phone:** (941) 497-2273
- **Practice address fax:** (877) 497-1030
- **Mailing address:** 1180 JACARANDA BLVD, VENICE, FL 34292-4501
- **Mailing address phone:** (941) 497-2273
- **Mailing address fax:** (877) 497-1030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | HME 1608 | FL | Yes |
| 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