Healthcare Provider Details

I. General information

NPI: 1235124256
Provider Name (Legal Business Name): MED SOUNDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 12/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 WEKIVA DR
MELBOURNE FL
32940-6988
US

IV. Provider business mailing address

1701 WEKIVA DR
MELBOURNE FL
32940-6988
US

V. Phone/Fax

Practice location:
  • Phone: 321-610-8734
  • Fax: 321-610-8734
Mailing address:
  • Phone: 321-610-8734
  • Fax: 321-610-8734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License NumberHCCR2758
License Number StateFL

VIII. Authorized Official

Name: MR. RODNEY DU FAULT
Title or Position: OWNER
Credential: RDMS, RVT, RDCS
Phone: 321-536-6640