{
"Npi": {
"NPI": "1871823492",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FLORIDA BEST CARE 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": "2616 TAMIAMI TRL UNIT 1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PORT CHARLOTTE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33952-6473",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "941-743-7606",
"MailingAddressFaxNumber": "941-769-1258",
"FirstLinePracticeLocationAddress": "2616 TAMIAMI TRL UNIT 1",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PORT CHARLOTTE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33952-6473",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "941-743-7606",
"PracticeLocationAddressFaxNumber": "941-743-7652",
"EnumerationDate": "01/04/2010",
"LastUpdateDate": "08/04/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BENGHTT",
"AuthorizedOfficialFirstName": "ROSA",
"AuthorizedOfficialMiddleName": "SUYAPA",
"AuthorizedOfficialTitle": "OWNER ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "941-769-1258",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "385H00000X",
"TaxonomyName": "Respite Care",
"LicenseNumber": "302/1351",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}