{"npi":"1124729348","type":"NPI-1","status":"active","name":{"display":"Miqueas Lopez","other":[],"first":"MIQUEAS","last":"LOPEZ"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"FL","license":"PA9117182"}]},"addresses":[{"purpose":"LOCATION","street_1":"1200 7TH AVE N","city":"ST PETERSBURG","state":"FL","postal_code":"337051300","country_code":"US","phone":"7278251100"},{"purpose":"MAILING","street_1":"500 DR MARTIN LUTHER KING JR ST N STE 303","city":"ST PETERSBURG","state":"FL","postal_code":"337051470","country_code":"US","phone":"7272105253"}],"license":{"state":"FL","number":"PA9117182"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230802000759","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"FL","pac_id":"5698136018"}]},"enumeration_date":"2023-03-14","last_updated":"2023-06-07","_meta":{"source":"NPPES","snapshot_date":"2023-06-07","doc_url":"https://findmynpi.com/api"}}