{
"Npi": {
"NPI": "1184745713",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JEAN PIERRE MD INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "430 S DIXIE HWY",
"SecondLineMailingAddress": "SUITE 210",
"MailingAddressCityName": "CORAL GABLES",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33146-2273",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "786-942-2242",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1873 W FLAGLER ST",
"SecondLinePracticeLocationAddress": "SUITE 5",
"PracticeLocationAddressCityName": "MIAMI",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33135-1976",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-649-4588",
"PracticeLocationAddressFaxNumber": "305-649-0202",
"EnumerationDate": "04/02/2007",
"LastUpdateDate": "10/22/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PIERRE",
"AuthorizedOfficialFirstName": "JEAN",
"AuthorizedOfficialMiddleName": "MARIO",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "786-942-2242",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208D00000X",
"TaxonomyName": "General Practice Physician",
"LicenseNumber": "ME81585",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}