{
"Npi": {
"NPI": "1306091913",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HEALTHY FAMILIES BROWARD",
"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": "915 MIDDLE RIVER DRIVE SUITE # 120",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FT. LAUDERDALE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33304",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "754-246-0422",
"MailingAddressFaxNumber": "954-563-6063",
"FirstLinePracticeLocationAddress": "915 MIDDLE RIVER DR STE 120",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FT LAUDERDALE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33304-3559",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "754-246-0422",
"PracticeLocationAddressFaxNumber": "954-563-6063",
"EnumerationDate": "11/24/2008",
"LastUpdateDate": "11/24/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUTIERREZ",
"AuthorizedOfficialFirstName": "MARTA",
"AuthorizedOfficialMiddleName": "CECILIA",
"AuthorizedOfficialTitle": "FAMILY SUPPORT WORKER SUPERVISOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "754-246-0422",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "G362543639420",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}