{
"Npi": {
"NPI": "1770003105",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VEDA LABOR OF LOVE BIRTH CENTER 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": "215 LITHIA PINECREST RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRANDON",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33511-5307",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "813-685-8404",
"MailingAddressFaxNumber": "813-298-0620",
"FirstLinePracticeLocationAddress": "106 MYRTLE RIDGE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LUTZ",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33549-5632",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "813-949-1185",
"PracticeLocationAddressFaxNumber": "813-949-1162",
"EnumerationDate": "06/27/2017",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VERBARG",
"AuthorizedOfficialFirstName": "KIMBERLY",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LM, CMP",
"AuthorizedOfficialTelephoneNumber": "813-753-2482",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QB0400X",
"TaxonomyName": "Birthing Clinic/Center",
"LicenseNumber": "312",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}