Medical Department Store

LBN: Mdk Ventures L.L.C
Medical Department Store is an health care organization with primary practice located at 4265 Tamiami Trl Unit E, Port Charlotte FL 33980-2152. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Mdk Ventures L.L.C can be contacted via phone (941) 637-7330, or through Mccord, Kevin William via phone (941) 232-8585.

Contact Information

Primary practice address
4265 Tamiami Trl Unit E Port Charlotte FL 33980-2152
Phone: (941) 637-7330
Fax: (941) 637-6582
Website:
Map and Directions
Authorized official contact:
Name: Mccord, Kevin William
Phone: (941) 232-8585

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1313157 Florida

Profile Details

NPI number 1962676189
LBN Legal business name Mdk Ventures L.L.C
DBA Doing business as Medical Department Store
Authorized official Mccord, Kevin William
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2008
Last updated Aug 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962676189 NPPES
Florida MEDICAID 025612900

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