# MDK VENTURES L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICAL DEPARTMENT STORE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174859961
- **Authorized official:** MR. KEVIN WILLIAM MCCORD (MANAGING MEMBER/GENERAL MANAGER)
- **Authorized official phone:** (941) 584-6154

## Contact information

- **Practice address:** 3672 WEBBER ST, SARASOTA, FL 34232-4413
- **Practice address phone:** (941) 923-7556
- **Practice address fax:** (941) 927-2104
- **Mailing address:** 752 COMMERCE DR, SUITE \#5, VENICE, FL 34292-1744
- **Mailing address phone:** (941) 584-6154
- **Mailing address fax:** (941) 584-6155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/29/2009
- **Last updated:** 08/18/2010
