{
"Npi": {
"NPI": "1043358658",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SONIA TALARICO DO MPH PA",
"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": "722 SE 27TH DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOMESTEAD",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33033-5239",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "786-243-1400",
"MailingAddressFaxNumber": "786-243-4111",
"FirstLinePracticeLocationAddress": "909 N KROME AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOMESTEAD",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33030-4408",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "786-243-4100",
"PracticeLocationAddressFaxNumber": "786-243-4111",
"EnumerationDate": "02/03/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TALARICO",
"AuthorizedOfficialFirstName": "SONIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DO, MPH, PA",
"AuthorizedOfficialTelephoneNumber": "786-243-1400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "OS9473",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}