{"npi":"1326773045","type":"NPI-2","status":"active","name":{"display":"Providence Family Life Center Corporation","other":[],"organization_name":"PROVIDENCE FAMILY LIFE CENTER CORPORATION","authorised_official":"Laura Kohler"},"specialty":{"primary_taxonomy":"261QM1300X","primary_taxonomy_description":"Multi-Specialty Clinic/Center","slug":"multi-specialty-clinic-center","schema_org_specialty":null,"all":[{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3592 BROADWAY STE 100","city":"FORT MYERS","state":"FL","postal_code":"339018056","country_code":"US","phone":"2396763159","fax":"2395199202"},{"purpose":"MAILING","street_1":"3049 CLEVELAND AVE","city":"FORT MYERS","state":"FL","postal_code":"339017041","country_code":"US","phone":"2396763159","fax":"8885199202"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-07-18","last_updated":"2022-07-18","_meta":{"source":"NPPES","snapshot_date":"2022-07-18","doc_url":"https://findmynpi.com/api"}}