{
"Npi": {
"NPI": "1679318216",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SEMPUL HOLDINGS INC",
"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": "5503 ENTERTAINMENT WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FORT PIERCE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34947-5474",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "321-222-1276",
"MailingAddressFaxNumber": "772-252-6568",
"FirstLinePracticeLocationAddress": "531 S US HIGHWAY 1 UNIT A-2",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FORT PIERCE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34950-8317",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "321-222-1276",
"PracticeLocationAddressFaxNumber": "772-252-6568",
"EnumerationDate": "06/26/2024",
"LastUpdateDate": "07/25/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANDERSON",
"AuthorizedOfficialFirstName": "THOMAS",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OPERATION MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "321-222-1276",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "343900000X",
"TaxonomyName": "Non-emergency Medical Transport (VAN)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}