{
"Npi": {
"NPI": "1407872849",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FRIAS",
"FirstName": "FEDERICO",
"MiddleName": "A",
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "M.D",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FRIAS",
"OtherFirstName": "FEDERICO",
"OtherMiddleName": "A",
"OtherNamePrefix": "MR.",
"OtherNameSuffix": null,
"OtherCredential": "M.D",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "5255 OFFICE PARK BLVD",
"SecondLineMailingAddress": "SUITE 110",
"MailingAddressCityName": "BRADENTON",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34203-3443",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "941-755-7000",
"MailingAddressFaxNumber": "941-755-7088",
"FirstLinePracticeLocationAddress": "5255 OFFICE PARK BLVD",
"SecondLinePracticeLocationAddress": "SUITE 110",
"PracticeLocationAddressCityName": "BRADENTON",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34203-3443",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "941-755-7000",
"PracticeLocationAddressFaxNumber": "941-755-7088",
"EnumerationDate": "07/15/2006",
"LastUpdateDate": "04/25/2014",
"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": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "ME87970",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}