# MDK VENTURES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1780855478
- **Authorized official:** MR. KEVIN WILLIAM MCCORD (MANAGING MEMBER)
- **Authorized official phone:** (941) 232-8585

## Contact information

- **Practice address:** 8595 COLLEGE PKWY, UNIT 170, FORT MYERS, FL 33919-5191
- **Practice address phone:** (239) 482-6111
- **Practice address fax:** (239) 482-6178
- **Mailing address:** 752 COMMERCE DR, SUITE 5, VENICE, FL 34292-1744
- **Mailing address phone:** (941) 584-6154
- **Mailing address fax:** (941) 497-1030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 538 AHCA | FL | Yes |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 32 6681 | FL | — |

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 03/01/2010