{
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"FirstLineMailingAddress": "5800 OVERSEAS HWY",
"SecondLineMailingAddress": "SUITE 7",
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"PracticeLocationAddressCityName": "KEY WEST",
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"EnumerationDate": "07/26/2007",
"LastUpdateDate": "11/08/2007",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "FELTS",
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"AuthorizedOfficialCredential": "D.C",
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"Taxonomies": {
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{
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},
{
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},
"HealthcareProviderTaxonomyGroups": {
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},
{
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}
]
}
}
}