Organization
MED SOUNDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY DU FAULT RDMS, RVT, RDCS (OWNER)
(321) 536-6640
Entity
Organization
Contact information
Practice address
1701 WEKIVA DR, MELBOURNE, FL 32940-6988
(321) 610-8734
(321) 610-8734
Mailing address
1701 WEKIVA DR, MELBOURNE, FL 32940-6988
(321) 610-8734
(321) 610-8734
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
HCCR2758
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510038100
—
FL
01
—
V2029
BLUE CROSS PROVIDER NUMBE
FL
Enumeration date
09/15/2005
Last updated
12/15/2010
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