{
"Npi": {
"NPI": "1407169758",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BB&H PAIN MANAGEMENT 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": "7401 N UNIVERSITY DR",
"SecondLineMailingAddress": "SUITE 206",
"MailingAddressCityName": "TAMARAC",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33321-2979",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-718-2230",
"MailingAddressFaxNumber": "954-718-2232",
"FirstLinePracticeLocationAddress": "7401 N UNIVERSITY DR",
"SecondLinePracticeLocationAddress": "SUITE 206",
"PracticeLocationAddressCityName": "TAMARAC",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33321-2979",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-718-2230",
"PracticeLocationAddressFaxNumber": "954-718-2232",
"EnumerationDate": "07/15/2010",
"LastUpdateDate": "05/31/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CANTOR",
"AuthorizedOfficialFirstName": "BERNARD",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/OFFICE MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "954-718-2230",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP3300X",
"TaxonomyName": "Pain Clinic/Center",
"LicenseNumber": "PMC-1208",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}