{
"Npi": {
"NPI": "1699980599",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SEA BREEZE TRANSPORTATION, 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": "PO BOX 540064",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MERRITT ISLAND",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32954-0064",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "321-634-5099",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "846 N COCOA BLVD",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "COCOA",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32922-7544",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "321-634-5099",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/14/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SAUSSY",
"AuthorizedOfficialFirstName": "COREY",
"AuthorizedOfficialMiddleName": "STEVEN",
"AuthorizedOfficialTitle": "CFO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "321-634-5099",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "343900000X",
"TaxonomyName": "Non-emergency Medical Transport (VAN)",
"LicenseNumber": null,
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}