{
"Npi": {
"NPI": "1932333796",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MANAGED CARE OF NORTH AMERICA, 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": "3230 W COMMERCIAL BLVD",
"SecondLineMailingAddress": "SUITE 190",
"MailingAddressCityName": "FT LAUDERDALE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33309-3429",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-731-7131",
"MailingAddressFaxNumber": "954-397-7441",
"FirstLinePracticeLocationAddress": "3230 W COMMERCIAL BLVD",
"SecondLinePracticeLocationAddress": "SUITE 190",
"PracticeLocationAddressCityName": "FT LAUDERDALE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33309-3429",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-731-7131",
"PracticeLocationAddressFaxNumber": "954-397-7441",
"EnumerationDate": "05/08/2009",
"LastUpdateDate": "02/17/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FEINGOLD",
"AuthorizedOfficialFirstName": "GLEN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "COO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "305-215-1507",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302R00000X",
"TaxonomyName": "Health Maintenance Organization",
"LicenseNumber": "66015",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}