{
"Npi": {
"NPI": "1467582437",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NORTH FLORIDA SURGERY CENTER INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "256 SW PROFESSIONAL GLN",
"SecondLineMailingAddress": "SUITE 101",
"MailingAddressCityName": "LAKE CITY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32025-1104",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-758-8937",
"MailingAddressFaxNumber": "386-755-2169",
"FirstLinePracticeLocationAddress": "256 SW PROFESSIONAL GLN",
"SecondLinePracticeLocationAddress": "SUITE 101",
"PracticeLocationAddressCityName": "LAKE CITY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32025-1104",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "386-758-8937",
"PracticeLocationAddressFaxNumber": "386-755-2169",
"EnumerationDate": "03/07/2007",
"LastUpdateDate": "10/16/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FAISAL",
"AuthorizedOfficialFirstName": "MOHAMMAD",
"AuthorizedOfficialMiddleName": "A.",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "386-758-8937",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "957",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}