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1356632145 NPI number — REFLECTIONS OF JUPITER LLC

NPI Number: 1356632145
Health Care Provider/Practitioner: REFLECTIONS OF JUPITER LLC

Information about “1356632145” NPI (REFLECTIONS OF JUPITER LLC) exists in 1356632145 in HTML format HTML  |  1356632145 in plain Text format TXT  |  1356632145 in PDF (Portable Document Format) PDF  |  1356632145 in an XML format XML  formats.

NPI Number : 1356632145 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356632145",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "REFLECTIONS OF JUPITER LLC",
    "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": "306 SW 10TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BELLE GLADE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33430-3282",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-721-4699",
    "MailingAddressFaxNumber": "561-844-0358",
    "FirstLinePracticeLocationAddress": "306 SW10 TH STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BELLE GLADE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33430",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-721-4699",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/27/2011",
    "LastUpdateDate": "04/27/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GRIPPALDI",
    "AuthorizedOfficialFirstName": "BRENDA",
    "AuthorizedOfficialMiddleName": "MARIE",
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPN",
    "AuthorizedOfficialTelephoneNumber": "561-721-4699",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA0600X",
        "TaxonomyName": "Adult Day Care Clinic/Center",
        "LicenseNumber": "9160",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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