{
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"OrgName": "PODIATRY ASSOCIATES OF FLORIDA INC",
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"FirstLineMailingAddress": "3117 SPRING GLEN RD",
"SecondLineMailingAddress": "STE 402",
"MailingAddressCityName": "JACKSONVILLE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32207-5906",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "904-224-2001",
"MailingAddressFaxNumber": "904-224-2002",
"FirstLinePracticeLocationAddress": "8825 PERIMETER PARK BLVD",
"SecondLinePracticeLocationAddress": "STE 202",
"PracticeLocationAddressCityName": "JACKSONVILLE",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "904-645-6982",
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"EnumerationDate": "09/21/2007",
"LastUpdateDate": "05/26/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BASKIN",
"AuthorizedOfficialFirstName": "JEANNIE",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "904-224-2001",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213E00000X",
"TaxonomyName": "Podiatrist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}