{
"Npi": {
"NPI": "1447521612",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHERYL L ROBERSON MD 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": "2352 CREEL LN",
"SecondLineMailingAddress": "SUITE 102",
"MailingAddressCityName": "WESLEY CHAPEL",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33544-4621",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "813-615-9400",
"MailingAddressFaxNumber": "813-615-9403",
"FirstLinePracticeLocationAddress": "2352 CREEL LN",
"SecondLinePracticeLocationAddress": "SUITE 102",
"PracticeLocationAddressCityName": "WESLEY CHAPEL",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33544-4621",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "813-615-9400",
"PracticeLocationAddressFaxNumber": "813-615-9403",
"EnumerationDate": "01/19/2012",
"LastUpdateDate": "09/17/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROBERSON",
"AuthorizedOfficialFirstName": "CHERYL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "813-615-9400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "ME67567",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}