| Organization Name: | MDK VENTURES |
| NPI Number: | 1043217391 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN WILLIAM MCCORD (MANAGING MEMBER) |
| Mailing Address: | 1180 Jacaranda Blvd Venice |
| State: | FL US |
| Postal Code: | 342924501 |
| Phone Number: | 9414972273 |
| Fax Number: | 8774971030 |
| NPI Enumeration Date: | 07/01/2005 |
| NPI Last Update Date: | 03/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | HME 1608 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |