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/GENERAL MANAGER)
(941) 584-6154
Entity
Organization
Contact information
Practice address
752 COMMERCE DR, SUITE #5, VENICE, FL 34292-1744
(941) 584-6154
(941) 584-6155
Mailing address
752 COMMERCE DR, SUITE #5, VENICE, FL 34292-1744
(941) 584-6154
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1313149
FL
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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