{
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"IsOrgSubpart": "N",
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"OrgName": "MEDICAL SERVICES OF FLORIDA, INC",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "344 W 65TH ST",
"SecondLineMailingAddress": "SUITE #204",
"MailingAddressCityName": "HIALEAH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33012-6719",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-320-8236",
"MailingAddressFaxNumber": "305-603-8401",
"FirstLinePracticeLocationAddress": "344 W 65TH ST",
"SecondLinePracticeLocationAddress": "SUITE #204",
"PracticeLocationAddressCityName": "HIALEAH",
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"PracticeLocationAddressTelephoneNumber": "305-320-8236",
"PracticeLocationAddressFaxNumber": "305-603-8401",
"EnumerationDate": "02/10/2014",
"LastUpdateDate": "02/10/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MEDINA",
"AuthorizedOfficialFirstName": "LOURDES",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialTelephoneNumber": "305-320-8236",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinic/Center",
"LicenseNumber": "MA59645",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}