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Organization
MDK VENTURES L.L.C
Active
Organization
MDK VENTURES L.L.C
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
4265 TAMIAMI TRL, UNIT E, PORT CHARLOTTE, FL 33980-2152
(941) 637-7330
(941) 637-6582
Mailing address
752 COMMERCE DR, SUITE 5, VENICE, FL 34292-1744
(941) 584-6154
(877) 497-1030
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1313157
FL
Other
Enumeration date
04/18/2008
Last updated
08/17/2010
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