{"npi":"1407040710","type":"NPI-2","status":"active","name":{"display":"Jonathan D Forman MD PA","other":[],"organization_name":"JONATHAN D FORMAN MD PA","authorised_official":"Jonathan Forman"},"specialty":{"primary_taxonomy":"207YX0905X","primary_taxonomy_description":"Otolaryngology/Facial Plastic Surgery Physician","slug":"otolaryngology-facial-plastic-surgery-physician","schema_org_specialty":null,"all":[{"code":"207YX0905X","description":"Otolaryngology/Facial Plastic Surgery Physician","primary":true,"state":"FL","license":"ME95483"}]},"addresses":[{"purpose":"LOCATION","street_1":"2605 W SWANN AVE","city":"TAMPA","state":"FL","postal_code":"336094039","country_code":"US","street_2":"SUITE 100","phone":"8138908004","fax":"8132909691"},{"purpose":"MAILING","street_1":"4606 S MATANZAS AVE","city":"TAMPA","state":"FL","postal_code":"336112748","country_code":"US","phone":"8138908004","fax":"8132909691"}],"license":{"state":"FL","number":"ME95483"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"275769900","state":"FL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-08-29","last_updated":"2008-06-04","_meta":{"source":"NPPES","snapshot_date":"2008-06-04","doc_url":"https://findmynpi.com/api"}}