{"npi":"1184282907","type":"NPI-1","status":"active","name":{"display":"Mark Daicoff PA-C","other":[],"first":"MARK","last":"DAICOFF","middle":"A.","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AS0400X","primary_taxonomy_description":"Surgical Physician Assistant","slug":"surgical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"FL","license":"PA9112118"}]},"addresses":[{"purpose":"LOCATION","street_1":"601 7TH ST S STE 205","city":"ST PETERSBURG","state":"FL","postal_code":"337014748","country_code":"US","phone":"7278936235","fax":"7275537422"},{"purpose":"MAILING","street_1":"601 7TH ST S STE 205","city":"ST PETERSBURG","state":"FL","postal_code":"337014748","country_code":"US","phone":"7278936235","fax":"7275537422"}],"license":{"state":"FL","number":"PA9112118"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"125349000","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190806003086","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"FL","pac_id":"3476880956"}]},"enumeration_date":"2019-06-05","last_updated":"2025-01-14","_meta":{"source":"NPPES","snapshot_date":"2025-01-14","doc_url":"https://findmynpi.com/api"}}