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1942699509 NPI number — NATURE COAST FAMILY MEDICINE

NPI Number: 1942699509
Health Care Provider/Practitioner: NATURE COAST FAMILY MEDICINE

Information about “1942699509” NPI (NATURE COAST FAMILY MEDICINE) exists in 1942699509 in HTML format HTML  |  1942699509 in plain Text format TXT  |  1942699509 in PDF (Portable Document Format) PDF  |  1942699509 in an XML format XML  formats.

NPI Number : 1942699509 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942699509",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "NATURE COAST WOMEN'S CARE, LLC",
    "ParentOrgTIN": null,
    "OrgName": "NATURE COAST FAMILY MEDICINE",
    "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": "2473 CARE DR",
    "SecondLineMailingAddress": "SUITE 102",
    "MailingAddressCityName": "TALLAHASSEE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32308-9814",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-591-1962",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2473 CARE DR",
    "SecondLinePracticeLocationAddress": "SUITE 102",
    "PracticeLocationAddressCityName": "TALLAHASSEE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32308-9814",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-591-1962",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/20/2015",
    "LastUpdateDate": "01/20/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OKOROJI",
    "AuthorizedOfficialFirstName": "CHUKWUMA",
    "AuthorizedOfficialMiddleName": "MBONU",
    "AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "850-591-1962",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2300X",
        "TaxonomyName": "Primary Care Clinic/Center",
        "LicenseNumber": "ME103799",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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