{"npi":"1265433171","type":"NPI-2","status":"active","name":{"display":"A Fitting Experience Mastectomy Shoppe, Inc.","other":[],"organization_name":"A FITTING EXPERIENCE MASTECTOMY SHOPPE, INC.","authorised_official":"Beth Agami"},"specialty":{"primary_taxonomy":"335E00000X","primary_taxonomy_description":"Prosthetic/Orthotic Supplier","slug":"prosthetic-orthotic-supplier","schema_org_specialty":null,"all":[{"code":"335E00000X","description":"Prosthetic/Orthotic Supplier","primary":true,"state":"FL","license":"1187390002"}]},"addresses":[{"purpose":"LOCATION","street_1":"2950 N STATE ROAD 7 STE 103","city":"MARGATE","state":"FL","postal_code":"330635748","country_code":"US","phone":"9549788287","fax":"9549789059"},{"purpose":"MAILING","street_1":"2950 N STATE ROAD 7 STE 103","city":"MARGATE","state":"FL","postal_code":"330635748","country_code":"US","phone":"9549788287","fax":"9549789059"}],"license":{"state":"FL","number":"1187390002"},"identifiers":[{"type_code":"01","label":"Other","value":"283302","state":"FL","issuer":"AV-MED PROVIDER NUMBER"},{"type_code":"01","label":"Other","value":"9490689001","state":"FL","issuer":"CIGNA PROVIDER"},{"type_code":"01","label":"Other","value":"M2726","state":"FL","issuer":"BC/BS OF FLORIDA-MARGATE"},{"type_code":"01","label":"Other","value":"M2420","state":"FL","issuer":"BC/BS OF FLORIDA"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930020785","type_code":"30-54","type_desc":"DME SUPPLIER - MEDICAL SUPPLY COMPANY","state":"FL","pac_id":"0345361143"}]},"enumeration_date":"2005-08-02","last_updated":"2024-05-03","_meta":{"source":"NPPES","snapshot_date":"2024-05-03","doc_url":"https://findmynpi.com/api"}}