Medical Department Store

LBN: Mdk Ventures Llc
Medical Department Store is an health care organization with primary practice located at 1180 Jacaranda Blvd , Venice FL 34292-4501. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Mdk Ventures Llc can be contacted via phone (941) 497-2273, or through Mccord, Kevin William via phone (941) 232-8585.

Contact Information

Primary practice address
1180 Jacaranda Blvd Venice FL 34292-4501
Fax: (877) 497-1030
Website:
Authorized official contact:
Name: Mccord, Kevin William

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X HME 1608 Florida
Suppliers / Customized Equipment 332BC3200X HME 1608 Florida
Suppliers / Nursing Facility Supplies 332BN1400X HME 1608 Florida
Suppliers / Parenteral & Enteral Nutrition 332BP3500X HME 1608 Florida
Suppliers / Oxygen Equipment & Supplies 332BX2000X HME 1608 Florida
Suppliers / Prosthetic/Orthotic Supplier 335E00000X HME 1608 Florida

Profile Details

NPI number 1043217391
LBN Legal business name Mdk Ventures Llc
DBA Doing business as Medical Department Store
Authorized official Mccord, Kevin William
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2005
Last updated Feb 27th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043217391 NPPES
Florida MEDICAID 025612900
Florida Other 1419733
Florida Other 629332
Florida MEDICAID 686600096
Florida MEDICAID 684602500
Florida Other 722Y3MD
Florida Other R9698
Florida MEDICAID 218895
Florida Other 35633687
Florida Other 114400XX

Popular Providers