Provider Demographics
NPI:1235124256
Name:MED SOUNDS INC
Entity Type:Organization
Organization Name:MED SOUNDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DU FAULT
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS, RVT, RDCS
Authorized Official - Phone:321-536-6640
Mailing Address - Street 1:1701 WEKIVA DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-6988
Mailing Address - Country:US
Mailing Address - Phone:321-610-8734
Mailing Address - Fax:321-610-8734
Practice Address - Street 1:1701 WEKIVA DR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-6988
Practice Address - Country:US
Practice Address - Phone:321-610-8734
Practice Address - Fax:321-610-8734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCCR2758246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL510038100Medicaid
FLV2029OtherBLUE CROSS PROVIDER NUMBE
FLV2029OtherBLUE CROSS PROVIDER NUMBE
FL510038100Medicaid