Provider Demographics
NPI:1558080424
Name:EXCELLERATED FACILITATION TECHNOLOGIES
Entity Type:Organization
Organization Name:EXCELLERATED FACILITATION TECHNOLOGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HASBROUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-748-4060
Mailing Address - Street 1:5175 45TH ST N # 4
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33714-2266
Mailing Address - Country:US
Mailing Address - Phone:727-748-4060
Mailing Address - Fax:727-748-4060
Practice Address - Street 1:5175 45TH ST N # 4
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33714-2266
Practice Address - Country:US
Practice Address - Phone:727-748-4060
Practice Address - Fax:727-748-4060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-24
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office BasedGroup - Single Specialty