{"npi":"1649335118","type":"NPI-1","status":"active","name":{"display":"Dr. Mark Douglas M.D.","other":[],"first":"MARK","last":"DOUGLAS","middle":"STEPHEN","credential":"M.D."},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"VA","license":"0101242719"}]},"addresses":[{"purpose":"LOCATION","street_1":"2080 CHILD ST","city":"JACKSONVILLE","state":"FL","postal_code":"322145005","country_code":"US","street_2":"DEPARTMENT OF DERMATOLOGY - NAVAL HOSPITAL JACKSONVILLE","phone":"9045427912","fax":"9045427917"},{"purpose":"MAILING","street_1":"700 S QUAIL CIR","city":"ANAHEIM","state":"CA","postal_code":"928074428","country_code":"US","phone":"9045427912","fax":"9045427917"}],"license":{"state":"VA","number":"0101242719"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20131025001008","type_code":"33-06","type_desc":"ORDER AND REFERRING ONLY - CARDIOVASCULAR DISEASE (CARDIOLOGY)","state":"FL","pac_id":"4082849179"},{"enrlmt_id":"I20171109002603","type_code":"33-07","type_desc":"ORDER AND REFERRING ONLY - DERMATOLOGY","state":"VA","pac_id":"4082849179"}]},"enumeration_date":"2006-12-26","last_updated":"2025-02-25","_meta":{"source":"NPPES","snapshot_date":"2025-02-25","doc_url":"https://findmynpi.com/api"}}