{
"Npi": {
"NPI": "1487970810",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FAMILY PHYSICIANS OF SOUTH FLORIDA",
"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": "1955 N FEDERAL HWY",
"SecondLineMailingAddress": "SUITE 301",
"MailingAddressCityName": "POMPANO BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33062-1028",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-942-2922",
"MailingAddressFaxNumber": "954-942-5352",
"FirstLinePracticeLocationAddress": "2001 N FEDERAL HWY",
"SecondLinePracticeLocationAddress": "SUITE 301-303",
"PracticeLocationAddressCityName": "POMPANO BEACH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33062-1030",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-942-2922",
"PracticeLocationAddressFaxNumber": "954-942-5352",
"EnumerationDate": "04/09/2010",
"LastUpdateDate": "04/12/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANSARA",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": "S",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "954-942-2922",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "ME10062",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}