{
"Npi": {
"NPI": "1538198783",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CFA KIDNEY & HYPERTENSION CENTER LLC",
"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": "P O BOX 915467",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LONGWOOD",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32791-5467",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "321-214-4133",
"MailingAddressFaxNumber": "321-214-4216",
"FirstLinePracticeLocationAddress": "587 E STATE ROAD 434",
"SecondLinePracticeLocationAddress": "SUITE 1011",
"PracticeLocationAddressCityName": "LONGWOOD",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32750-5284",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "321-214-4133",
"PracticeLocationAddressFaxNumber": "321-214-4216",
"EnumerationDate": "07/01/2006",
"LastUpdateDate": "03/03/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DARAMOLA-OGUNWUYI",
"AuthorizedOfficialFirstName": "OLUFUNMILOLA",
"AuthorizedOfficialMiddleName": "OLUWAKEMI",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "321-214-4133",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "L06000028969",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}