{
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"FirstLineMailingAddress": "207 W. GORE STREET",
"SecondLineMailingAddress": "SUITE 200",
"MailingAddressCityName": "ORLANDO",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-425-5100",
"MailingAddressFaxNumber": "407-425-3009",
"FirstLinePracticeLocationAddress": "4421 SUN N LAKE BLVD",
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"PracticeLocationAddressCityName": "SEBRING",
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"PracticeLocationAddressTelephoneNumber": "772-485-1058",
"PracticeLocationAddressFaxNumber": "863-655-2962",
"EnumerationDate": "07/14/2008",
"LastUpdateDate": "01/05/2009",
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"AuthorizedOfficialLastName": "BROWN",
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"AuthorizedOfficialMiddleName": "WHISONANT",
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"AuthorizedOfficialCredential": "PHD, ARNP",
"AuthorizedOfficialTelephoneNumber": "407-737-9297",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "364SP0808X",
"TaxonomyName": "Psychiatric/Mental Health Clinical Nurse Specialist",
"LicenseNumber": "ARNP1104872",
"LicenseNumberStateCode": "FL",
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}
},
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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."
}
}
}
}