{
"Npi": {
"NPI": "1184874224",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PATRICIA HARRISON MD P L",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"FirstLineMailingAddress": "1025 N. BEAL PKWY",
"SecondLineMailingAddress": "SUITE B-1",
"MailingAddressCityName": "FORT WALTON BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32547-1481",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "850-862-4960",
"MailingAddressFaxNumber": "850-862-4529",
"FirstLinePracticeLocationAddress": "1025 N. BEAL PKWY",
"SecondLinePracticeLocationAddress": "SUITE B-1",
"PracticeLocationAddressCityName": "FORT WALTON BEACH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32547-1481",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "850-862-4960",
"PracticeLocationAddressFaxNumber": "850-862-4529",
"EnumerationDate": "09/25/2008",
"LastUpdateDate": "10/14/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARRISON",
"AuthorizedOfficialFirstName": "PATRICIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT/OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "850-862-4960",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": "ME71795",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}