{
"Npi": {
"NPI": "1699065102",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PHYSICIANSEXPRESS CARE, INC.",
"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": "1311 E OAK ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ARCADIA",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34266-8902",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "863-491-9000",
"MailingAddressFaxNumber": "863-491-9700",
"FirstLinePracticeLocationAddress": "1311 E OAK ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ARCADIA",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34266-8902",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "863-491-9000",
"PracticeLocationAddressFaxNumber": "863-491-9700",
"EnumerationDate": "04/18/2011",
"LastUpdateDate": "04/18/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SACK",
"AuthorizedOfficialFirstName": "JEFFREY",
"AuthorizedOfficialMiddleName": "BRETT",
"AuthorizedOfficialTitle": "C.E.O.",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "941-371-3800",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": "ME56807",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}