Medical Department Store
LBN: Mdk Ventures Llc
Medical Department Store is an health care organization with primary practice located at 8595 College Pkwy Unit 170, Fort Myers FL 33919-5191. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Mdk Ventures Llc can be contacted via phone (239) 482-6111, or through Mccord, Kevin William via phone (941) 232-8585.
Contact Information
Primary practice address
8595 College Pkwy Unit 170
Fort Myers FL 33919-5191
Phone: (239) 482-6111
Fax: (239) 482-6178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 538 AHCA | Florida |
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X | 32 6681 | Florida |
Profile Details
| NPI number | 1780855478 |
|---|---|
| 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 | Mar 20th, 2008 |
| Last updated | Mar 1st, 2010 - about 15 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780855478 | NPPES |
| Florida | MEDICAID | 025612900 |
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