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 (GENERAL MANAGER)
(941) 584-6154
Entity
Organization
Contact information
Practice address
13030 LIVINGSTON RD, STE 2, NAPLES, FL 34105-5024
(239) 529-2242
(239) 776-7809
Mailing address
1180 JACARANDA BLVD, VENICE, FL 34292-4501
(941) 584-6154
(941) 584-6155
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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