{
"Npi": {
"NPI": "1366320632",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FLORENT",
"FirstName": "JEAN",
"MiddleName": "EVENS",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "N/A",
"OtherFirstName": "N/A",
"OtherMiddleName": "N/A",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "DC",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "5232 75TH ST N",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ST PETERSBURG",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33709-2412",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "727-361-3836",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9206 STATE ROAD 52",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HUDSON",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34669-3029",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "727-312-1043",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/25/2025",
"LastUpdateDate": "08/25/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "CH11060",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}