NPI Information

  • NPI: 1962676189
  • Provider Name: MDK VENTURES L.L.C
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: MEDICAL DEPARTMENT STORE
  • Address: 4265 TAMIAMI TRL
    UNIT E
    PORT CHARLOTTE, FL
    ZIP 33980
  • Phone: (941) 637-7330

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NPI Details

MDK VENTURES L.L.C is a durable medical equipment medical supplies in Port Charlotte, 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 L.L.C NPI is 1962676189. 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:

4265 TAMIAMI TRL
UNIT E
PORT CHARLOTTE, FL
ZIP 33980-152
Phone: (941) 637-7330
Fax: (941) 637-6582

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 4/18/2008 and was last updated on 8/17/2010.

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
1332B00000XDurable Medical Equipment & Medical Supplies1313157FLORIDAYes

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
14423600003MEDICARE NSCFLORIDA
2025612900MEDICAIDFLORIDA

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: 11/21/2025

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