{
"Npi": {
"NPI": "1043473283",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JAMES A HALEY",
"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": "529 S PARSONS AVE",
"SecondLineMailingAddress": "APT#1014",
"MailingAddressCityName": "BRANDON",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33511-6069",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "813-300-3098",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "529 S PARSONS AVE",
"SecondLinePracticeLocationAddress": "APT#1014",
"PracticeLocationAddressCityName": "BRANDON",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33511-6069",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "813-300-3098",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/08/2008",
"LastUpdateDate": "07/08/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FLORES",
"AuthorizedOfficialFirstName": "RACHELL",
"AuthorizedOfficialMiddleName": "JEANETTE",
"AuthorizedOfficialTitle": "LICSENCED PRACTICAL NURSE",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LPN",
"AuthorizedOfficialTelephoneNumber": "813-300-3098",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2865M2000X",
"TaxonomyName": "Military General Acute Care Hospital",
"LicenseNumber": "PN5181692",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}