NPI Code Detail JSON Logo

1326358375 NPI number — MDR ADVANCED MEDICAL ASSOCIATES INC

NPI Number: 1326358375
Health Care Provider/Practitioner: MDR ADVANCED MEDICAL ASSOCIATES INC

Information about “1326358375” NPI (MDR ADVANCED MEDICAL ASSOCIATES INC) exists in 1326358375 in HTML format HTML  |  1326358375 in plain Text format TXT  |  1326358375 in PDF (Portable Document Format) PDF  |  1326358375 in an XML format XML  formats.

NPI Number : 1326358375 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326358375",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MDR ADVANCED MEDICAL ASSOCIATES INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1899 N CONGRESS AVE STE 9",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOYNTON BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33426-8215",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-731-3361",
    "MailingAddressFaxNumber": "561-731-3374",
    "FirstLinePracticeLocationAddress": "1899 N CONGRESS AVE STE 9",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOYNTON BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33426-8215",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-731-3361",
    "PracticeLocationAddressFaxNumber": "561-731-3374",
    "EnumerationDate": "10/08/2010",
    "LastUpdateDate": "10/08/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DIROMA",
    "AuthorizedOfficialFirstName": "MARK",
    "AuthorizedOfficialMiddleName": "P",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.C.",
    "AuthorizedOfficialTelephoneNumber": "561-731-3361",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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