# 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:** 1962676189
- **Authorized official:** MR. KEVIN WILLIAM MCCORD (MANAGING MEMBER)
- **Authorized official phone:** (941) 232-8585

## Contact information

- **Practice address:** 4265 TAMIAMI TRL, UNIT E, PORT CHARLOTTE, FL 33980-2152
- **Practice address phone:** (941) 637-7330
- **Practice address fax:** (941) 637-6582
- **Mailing address:** 752 COMMERCE DR, SUITE 5, VENICE, FL 34292-1744
- **Mailing address phone:** (941) 584-6154
- **Mailing address fax:** (877) 497-1030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1313157 | FL | Yes |

## Other

- **Enumeration date:** 04/18/2008
- **Last updated:** 08/17/2010
