{"npi":"1093081986","type":"NPI-1","status":"active","name":{"display":"Miss Patricia Subnaik D.O.","other":[],"first":"PATRICIA","last":"SUBNAIK","middle":"CAROLINA","credential":"D.O."},"specialty":{"primary_taxonomy":"2080P0206X","primary_taxonomy_description":"Pediatric Gastroenterology Physician","slug":"pediatric-gastroenterology-physician","schema_org_specialty":null,"all":[{"code":"208000000X","description":"Pediatrics","primary":false,"state":"KY","license":"03869"},{"code":"2080P0206X","description":"Pediatric Gastroenterology Physician","primary":true,"state":"FL","license":"OS16079"}]},"addresses":[{"purpose":"LOCATION","street_1":"15901 BASS RD STE 102","city":"FORT MYERS","state":"FL","postal_code":"33908","country_code":"US","phone":"2393439890","fax":"2393439898"},{"purpose":"MAILING","street_1":"PO BOX 2147","city":"FORT MYERS","state":"FL","postal_code":"339022147","country_code":"US","phone":"2393439890","fax":"2393439898"}],"license":{"state":"FL","number":"OS16079"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"103021200","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190614000504","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"FL","pac_id":"1951613694"}]},"enumeration_date":"2012-03-26","last_updated":"2021-03-30","_meta":{"source":"NPPES","snapshot_date":"2021-03-30","doc_url":"https://findmynpi.com/api"}}