{
"Npi": {
"NPI": "1710089024",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FRANCKLE",
"FirstName": "CORNELIUS",
"MiddleName": "SHAW",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "106-4TH ST E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ST. PETERSBURG",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33715-2241",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "727-867-2433",
"MailingAddressFaxNumber": "727-864-3115",
"FirstLinePracticeLocationAddress": "1609 PASADENA AVE S",
"SecondLinePracticeLocationAddress": "SUITE 1E",
"PracticeLocationAddressCityName": "SOUTH PASADENA",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33707-4565",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "727-341-7870",
"PracticeLocationAddressFaxNumber": "727-341-7758",
"EnumerationDate": "09/05/2006",
"LastUpdateDate": "06/03/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207PE0005X",
"TaxonomyName": "Undersea and Hyperbaric Medicine (Emergency Medicine) Physician",
"LicenseNumber": "ME0022334",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}