{
"Npi": {
"NPI": "1407934912",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LATIF JANGDA",
"FirstName": "MOHAMMAD",
"MiddleName": "JAWED",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8050 N UNIVERSITY DR",
"SecondLineMailingAddress": "STE 201",
"MailingAddressCityName": "TAMARAC",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33321-2102",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "854-532-2920",
"MailingAddressFaxNumber": "866-843-0820",
"FirstLinePracticeLocationAddress": "2225 N UNIVERSITY DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PEMBROKE PINES",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33024-3611",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-730-3340",
"PracticeLocationAddressFaxNumber": "954-730-8879",
"EnumerationDate": "11/01/2006",
"LastUpdateDate": "01/07/2021",
"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": "2084A0401X",
"TaxonomyName": "Addiction Medicine (Psychiatry & Neurology) Physician",
"LicenseNumber": "ME78898",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2084P0015X",
"TaxonomyName": "Psychosomatic Medicine Physician",
"LicenseNumber": "ME78898",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2084P0805X",
"TaxonomyName": "Geriatric Psychiatry Physician",
"LicenseNumber": "ME78898",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}