{"npi":"1013911031","type":"NPI-1","status":"active","name":{"display":"Donald Maddack DO","other":[],"first":"DONALD","last":"MADDACK","middle":"JAMES","credential":"DO"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"FL","license":"OS17632"},{"code":"208D00000X","description":"General Practice","primary":false,"state":"IN","license":"02001180"}]},"addresses":[{"purpose":"LOCATION","street_1":"901 VENETIA BAY BLVD STE 110","city":"VENICE","state":"FL","postal_code":"342858042","country_code":"US","phone":"9414844778","fax":"9414858063"},{"purpose":"MAILING","street_1":"2675 WINKLER AVE FL 2","city":"FORT MYERS","state":"FL","postal_code":"339019342","country_code":"US","phone":"8778563774"}],"license":{"state":"FL","number":"OS17632"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210814000197","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"FL","pac_id":"5092855908"}]},"enumeration_date":"2005-06-08","last_updated":"2024-04-01","_meta":{"source":"NPPES","snapshot_date":"2024-04-01","doc_url":"https://findmynpi.com/api"}}