Healthcare Provider Details

I. General information

NPI: 1558080424
Provider Name (Legal Business Name): EXCELLERATED FACILITATION TECHNOLOGIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2022
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5175 45TH ST N # 4
ST PETERSBURG FL
33714-2266
US

IV. Provider business mailing address

5175 45TH ST N # 4
ST PETERSBURG FL
33714-2266
US

V. Phone/Fax

Practice location:
  • Phone: 727-748-4060
  • Fax: 727-748-4060
Mailing address:
  • Phone: 727-748-4060
  • Fax: 727-748-4060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246YC3302X
TaxonomyPhysician Office Based Coding Specialist
License Number
License Number State

VIII. Authorized Official

Name: ROBERT HASBROUCK
Title or Position: PRESIDENT
Credential:
Phone: 727-748-4060