{
"Npi": {
"NPI": "1285688705",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SUDDEN CARE OPTIONS CMHC 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": "1421 SW 107TH AVE",
"SecondLineMailingAddress": "SUITE 2",
"MailingAddressCityName": "MIAMI",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33174-2509",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-229-9021",
"MailingAddressFaxNumber": "305-229-9031",
"FirstLinePracticeLocationAddress": "1421 SW 107TH AVE",
"SecondLinePracticeLocationAddress": "SUITE 2",
"PracticeLocationAddressCityName": "MIAMI",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33174-2509",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-229-9021",
"PracticeLocationAddressFaxNumber": "305-229-9031",
"EnumerationDate": "05/20/2006",
"LastUpdateDate": "12/05/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PENA",
"AuthorizedOfficialFirstName": "FRANCISCO",
"AuthorizedOfficialMiddleName": "ALBERTO",
"AuthorizedOfficialTitle": "OWNER/PRESIDENT/ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "LMHC",
"AuthorizedOfficialTelephoneNumber": "305-229-9021",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0801X",
"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
"LicenseNumber": "HCC5199",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}