{
"Npi": {
"NPI": "1730270943",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CYPRESS HEALTH SYSTEMS FLORIDA 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": "125 SW 7TH STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WILLISTON",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32696-2403",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "352-528-2801",
"MailingAddressFaxNumber": "352-528-3824",
"FirstLinePracticeLocationAddress": "125 SW 7TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WILLISTON",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32696-2403",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "352-528-2801",
"PracticeLocationAddressFaxNumber": "352-528-3824",
"EnumerationDate": "09/27/2006",
"LastUpdateDate": "10/25/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GILLMAN",
"AuthorizedOfficialFirstName": "JERRY",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "352-528-2801",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282NR1301X",
"TaxonomyName": "Rural Acute Care Hospital",
"LicenseNumber": "282N00000X",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}