{
"Npi": {
"NPI": "1740572825",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CARE ONE PRIMARY 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": "12224 CORTEZ BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BROOKSVILLE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34613-2631",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "352-610-9905",
"MailingAddressFaxNumber": "352-610-9907",
"FirstLinePracticeLocationAddress": "12224 CORTEZ BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BROOKSVILLE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34613-2631",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "352-610-9905",
"PracticeLocationAddressFaxNumber": "352-610-9907",
"EnumerationDate": "05/09/2011",
"LastUpdateDate": "11/21/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAVIANO",
"AuthorizedOfficialFirstName": "ANTHONY",
"AuthorizedOfficialMiddleName": "PETER",
"AuthorizedOfficialTitle": "MANAGING PARTNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "ARNP",
"AuthorizedOfficialTelephoneNumber": "352-610-9905",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}