{
"Npi": {
"NPI": "1003353020",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PRONTO URGENT CARE LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2500 E COMMERCIAL BLVD STE D",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FORT LAUDERDALE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33308-4124",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-909-5708",
"MailingAddressFaxNumber": "954-909-5709",
"FirstLinePracticeLocationAddress": "2633 E COMMERCIAL BLVD",
"SecondLinePracticeLocationAddress": "SUITE C",
"PracticeLocationAddressCityName": "FORT LAUDERDALE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33308-4135",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-790-1718",
"PracticeLocationAddressFaxNumber": "954-909-5709",
"EnumerationDate": "01/28/2017",
"LastUpdateDate": "07/16/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GAME",
"AuthorizedOfficialFirstName": "MARIA",
"AuthorizedOfficialMiddleName": "BELEN",
"AuthorizedOfficialTitle": "MEDICAL DOCTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "954-909-5708",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": "100292",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}