{
"Npi": {
"NPI": "1396200614",
"EntityType": "Organization",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ARROYO HEALTH & WELLNESS, LLC",
"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": "692 ELDRON CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DELTONA",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32738-8852",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-216-8638",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "879 HARLEY STRICKLAND BLVD SUITE 200",
"SecondLinePracticeLocationAddress": "SALON SUITE 206",
"PracticeLocationAddressCityName": "ORANGE CITY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32763-3276",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "386-216-8638",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/01/2019",
"LastUpdateDate": "02/01/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ARROYO",
"AuthorizedOfficialFirstName": "ARTIE",
"AuthorizedOfficialMiddleName": "CAROS",
"AuthorizedOfficialTitle": "CO-OWNER/LICENSED MASSAGE THERAPIST",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "II",
"AuthorizedOfficialCredential": "LMT",
"AuthorizedOfficialTelephoneNumber": "386-216-8638",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}