{
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"FirstLineMailingAddress": "3956 TOWN CTR BLVD # 598",
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"MailingAddressCityName": "ORLANDO",
"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "220 N WESTMONTE DR STE D",
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"PracticeLocationAddressCityName": "ALTAMONTE SPRINGS",
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"EnumerationDate": "05/01/2018",
"LastUpdateDate": "05/01/2018",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ECHEVARRIA",
"AuthorizedOfficialFirstName": "ELIZABETH",
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"AuthorizedOfficialCredential": "DC",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Chiropractor",
"LicenseNumber": "CH11075",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}