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1275775694 NPI number — GULFSTREAM GOODWILL INDUSTRIES, INC.

NPI Number: 1275775694
Health Care Provider/Practitioner: GULFSTREAM GOODWILL INDUSTRIES, INC.

Information about “1275775694” NPI (GULFSTREAM GOODWILL INDUSTRIES, INC.) exists in 1275775694 in HTML format HTML  |  1275775694 in plain Text format TXT  |  1275775694 in PDF (Portable Document Format) PDF  |  1275775694 in an XML format XML  formats.

NPI Number : 1275775694 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275775694",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GULFSTREAM GOODWILL INDUSTRIES, INC.",
    "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": "1715 TIFFANY DR E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST PALM BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33407-3224",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-848-7200",
    "MailingAddressFaxNumber": "561-848-0346",
    "FirstLinePracticeLocationAddress": "1715 TIFFANY DR E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST PALM BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33407-3224",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-848-7200",
    "PracticeLocationAddressFaxNumber": "561-848-0346",
    "EnumerationDate": "03/31/2009",
    "LastUpdateDate": "03/31/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SPENCER",
    "AuthorizedOfficialFirstName": "KATHRYN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP, HUMAN SERVICES",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "561-848-7200",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251B00000X",
        "TaxonomyName": "Case Management Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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