{
"Npi": {
"NPI": "1881883676",
"EntityType": "Organization",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WEST FLORIDA EYE INC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2814 LEE BLVD",
"SecondLineMailingAddress": "STE 3",
"MailingAddressCityName": "LEHIGH ACRES",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33971-1542",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "239-303-2687",
"MailingAddressFaxNumber": "239-303-2688",
"FirstLinePracticeLocationAddress": "2814 LEE BLVD",
"SecondLinePracticeLocationAddress": "STE 3",
"PracticeLocationAddressCityName": "LEHIGH ACRES",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33971-1542",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "239-303-2687",
"PracticeLocationAddressFaxNumber": "239-303-2688",
"EnumerationDate": "10/17/2007",
"LastUpdateDate": "07/16/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AZIZI",
"AuthorizedOfficialFirstName": "HABIB",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "239-303-2687",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0100X",
"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": "OPC 3682",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}