Organization Name: | MDK VENTURES L.L.C. |
NPI Number: | 1043546864 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN WILLIAM MCCORD (MANAGING MEMBER/GENERAL MANAGER) |
Mailing Address: | 752 Commerce Dr Suite #5 Venice |
State: | FL US |
Postal Code: | 342921744 |
Phone Number: | 9415846154 |
Fax Number: | 9415846155 |
NPI Enumeration Date: | 10/29/2009 |
NPI Last Update Date: | 10/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1313149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |