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
Fax: (239) 482-6178
Website:
Authorized official contact:
Name: Mccord, Kevin William

Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780855478 NPPES
Florida MEDICAID 025612900

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