MDK VENTURES NPI 1043217391

NPI Information

NPI: 1043217391
Provider Name: MDK VENTURES

Doing Business As: MEDICAL DEPARTMENT STORE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1180 JACARANDA BLVD
VENICE, FL
ZIP 34292
Phone: (941) 497-2273
Get Directions

MDK VENTURES is a durable medical equipment medical supplies in Venice, 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 NPI is 1043217391. 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:

1180 JACARANDA BLVD
VENICE, FL
ZIP 34292-501
Phone: (941) 497-2273
Fax: (877) 497-1030

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 7/1/2005 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	HME 1608	FLORIDA	No
2	332BN1400X	Durable Medical Equipment & Medical Supplies	Nursing Facility Supplies	HME 1608	FLORIDA	No
3	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	HME 1608	FLORIDA	No
4	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	HME 1608	FLORIDA	No
5	335E00000X	Prosthetic/Orthotic Supplier		HME 1608	FLORIDA	No
6	332B00000X	Durable Medical Equipment & Medical Supplies		HME 1608	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	684602500	MEDICAID	FLORIDA
2	1419733	OTHER	FLORIDA	BCBS OF PA PROVIDER
3	722Y3MD	OTHER	FLORIDA	BCBS OF MN PROVIDER
4	114400XX	OTHER	FLORIDA	PREFERRED CARE PROVIDER
5	218895	MEDICAID	FLORIDA
6	R9698	OTHER	FLORIDA	BCBC PROVIDER NUMBER
7	35633687	OTHER	FLORIDA	AETNA PROVIDER NUMBER
8	025612900	MEDICAID	FLORIDA
9	4423600001	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	MEDICARE PROVIDER NUMBER
10	686600096	MEDICAID	FLORIDA
11	629332	OTHER	FLORIDA	ANTHEM BCBS PROVIDER

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

NPI Synchronization or Removal

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