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1396801288 NPI number — INFECTIOUS DISEASE ASSOCIATES PA

NPI Number: 1396801288
Health Care Provider/Practitioner: INFECTIOUS DISEASE ASSOCIATES PA

Information about “1396801288” NPI (INFECTIOUS DISEASE ASSOCIATES PA) exists in 1396801288 in HTML format HTML  |  1396801288 in plain Text format TXT  |  1396801288 in PDF (Portable Document Format) PDF  |  1396801288 in an XML format XML  formats.

NPI Number : 1396801288 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396801288",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INFECTIOUS DISEASE ASSOCIATES PA",
    "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": "2900 N MILITARY TRL STE 243",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOCA RATON",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33431-6362",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-496-1095",
    "MailingAddressFaxNumber": "561-948-4473",
    "FirstLinePracticeLocationAddress": "2900 N MILITARY TRL STE 243",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOCA RATON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33431-6362",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-496-1095",
    "PracticeLocationAddressFaxNumber": "561-948-4473",
    "EnumerationDate": "12/28/2006",
    "LastUpdateDate": "09/14/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CARDENAS",
    "AuthorizedOfficialFirstName": "ANDREIA",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "561-496-1095",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RI0200X",
        "TaxonomyName": "Infectious Disease Physician",
        "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."
      }
    }
  }
}
                
            

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