{
"Npi": {
"NPI": "1639721954",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TOWN OF ORANGE PARK",
"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": "PO BOX 161993",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALTAMONTE SPRINGS",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32716-1993",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "904-264-3411",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2025 SMITH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ORANGE PARK",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32073-5579",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "904-264-3411",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/16/2019",
"LastUpdateDate": "08/27/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CONTESTABILE",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "INTERIM FIRE CHIEF",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "904-278-2083",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}