{"npi":"1154462703","type":"NPI-2","status":"active","name":{"display":"Polk County Board Of County Commissioners (polk County Bocc)","other":[],"organization_name":"POLK COUNTY BOARD OF COUNTY COMMISSIONERS (POLK COUNTY BOCC)","authorised_official":"Samuel (sam) Johnson"},"specialty":{"primary_taxonomy":"208D00000X","primary_taxonomy_description":"General Practice","slug":"general-practice","schema_org_specialty":"PrimaryCare","all":[{"code":"208D00000X","description":"General Practice","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2120 MARSHALL EDWARDS DR","city":"BARTOW","state":"FL","postal_code":"338306731","country_code":"US","phone":"8635197579","fax":"8635194783"},{"purpose":"MAILING","street_1":"2135 MARSHALL EDWARDS DR","city":"BARTOW","state":"FL","postal_code":"338306757","country_code":"US","phone":"8635197579","fax":"8635194783"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"010168101","state":"FL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-02-08","last_updated":"2008-04-24","_meta":{"source":"NPPES","snapshot_date":"2008-04-24","doc_url":"https://findmynpi.com/api"}}