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1457187528 NPI number — KYLE MITCHEL DISNEY

NPI Number: 1457187528
Health Care Provider/Practitioner: KYLE MITCHEL DISNEY

Information about “1457187528” NPI (KYLE MITCHEL DISNEY) exists in 1457187528 in HTML format HTML  |  1457187528 in plain Text format TXT  |  1457187528 in PDF (Portable Document Format) PDF  |  1457187528 in an XML format XML  formats.

NPI Number : 1457187528 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457187528",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DISNEY",
    "FirstName": "KYLE",
    "MiddleName": "MITCHEL",
    "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": "5374 NW 117TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CORAL SPRINGS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33076-3214",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-205-8751",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "WEST BOCA MEDICAL CENTER",
    "SecondLinePracticeLocationAddress": "21644 N STATE ROAD 7",
    "PracticeLocationAddressCityName": "BOCA RATON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33428",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-488-8000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/13/2024",
    "LastUpdateDate": "09/13/2024",
    "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": "363LC0200X",
        "TaxonomyName": "Critical Care Medicine Nurse Practitioner",
        "LicenseNumber": "APRN11035101",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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