{
"Npi": {
"NPI": "1942874490",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LFBS AND COMPANY LLC",
"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": "8374 MARKET ST # 194",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKEWOOD RANCH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34202-5137",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "929-928-0754",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9015 TOWN CENTER PKWY UNIT 112",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKEWOOD RANCH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34202-5012",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "941-877-6002",
"PracticeLocationAddressFaxNumber": "833-914-2734",
"EnumerationDate": "05/19/2021",
"LastUpdateDate": "01/27/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KAO",
"AuthorizedOfficialFirstName": "LEO",
"AuthorizedOfficialMiddleName": "LIN",
"AuthorizedOfficialTitle": "OWNER/ SOLE PROVIDER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "941-877-6002",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}