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MDK VENTURES LLC NPI 1780855478


NPI Information

NPI: 1780855478
Provider Name: MDK VENTURES LLC

Doing Business As: MEDICAL DEPARTMENT STORE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
8595 COLLEGE PKWY
UNIT 170
FORT MYERS, FL
ZIP 33919
Phone: (239) 482-6111
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MDK VENTURES LLC is a durable medical equipment medical supplies in Fort Myers, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MDK VENTURES LLC NPI is 1780855478. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Department Store.

The provider's business location address is:

8595 COLLEGE PKWY
UNIT 170
FORT MYERS, FL
ZIP 33919-191
Phone: (239) 482-6111
Fax: (239) 482-6178

The provider's authorized official is Kevin William Mccord .
The authorized official title is Managing Member and has the following contact phone number (941) 232-8585.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 3/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies32 6681FLORIDANo
2332B00000XDurable Medical Equipment & Medical Supplies538 AHCAFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1025612900MEDICAIDFLORIDA
24423600002MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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