Organization Active NPI

Axzelant LLC

  • Durable Medical Equipment & Medical Supplies
  • Brooksville, FL
National Provider Identifier
1528452133
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AXZELANT LLC
Practice address
727 Benton Ave
Brooksville, FL 34601-3213
Phone
(813) 479-7659
Fax
(813) 596-2220
NPI assigned
Mar 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Bernice Haderthauer
Title
Accting Manager
Phone
(813) 479-7659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

727 Benton Ave
Brooksville, FL 34601-3213

Mailing address

727 Benton Ave
Brooksville, FL 34601-3213
Phone (813) 479-7659

National Provider Directory

National Provider Directory
Tax ID family
Axzelant LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

727 Benton Ave
Brooksville, FL 34601
Phone (352) 796-8824

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1528452133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 BENTON AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013213",
            "telephone_number": "813-479-7659",
            "fax_number": "813-596-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 BENTON AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013213",
            "telephone_number": "813-479-7659",
            "fax_number": "813-596-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXZELANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "HADERTHAUER",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "ACCTING MANAGER",
        "authorized_official_telephone_number": "813-479-7659",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.