{
"Npi": {
"NPI": "1487541652",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ESTEBAN IV",
"FirstName": "JULIO",
"MiddleName": "JUAN LUIS",
"NamePrefix": "MR.",
"NameSuffix": "IV",
"Credential": "APRN , CPNP-AC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "16824 MOSS TREE LOOP APT 317",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAND O LAKES",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34638-0078",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "904-814-3072",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "501 6TH AVE S",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ST PETERSBURG",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33701-4634",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "727-898-7451",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/20/2025",
"LastUpdateDate": "09/30/2025",
"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": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "11040115",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}