{"npi":"1649896804","type":"NPI-2","status":"active","name":{"display":"Tricoche Integrated Health INC","other":[],"organization_name":"TRICOCHE INTEGRATED HEALTH INC","authorised_official":"Kristen Laurella"},"specialty":{"primary_taxonomy":"261Q00000X","primary_taxonomy_description":"Clinic/Center","slug":"clinic-center","schema_org_specialty":null,"all":[{"code":"261QP2300X","description":"Primary Care Clinic","primary":false,"state":null,"license":null},{"code":"261Q00000X","description":"Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1855 W HIBISCUS BLVD","city":"MELBOURNE","state":"FL","postal_code":"329012622","country_code":"US","phone":"3218024521"},{"purpose":"MAILING","street_1":"1855 W HIBISCUS BLVD","city":"MELBOURNE","state":"FL","postal_code":"329012622","country_code":"US","phone":"3218024521"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"APRN9303071","state":"FL","issuer":"STATE OF FLORIDA DEPARTMENT OF HEALTH"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20200730002153","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"0941625412"},{"enrlmt_id":"O20201102000501","type_code":"30-54","type_desc":"DME SUPPLIER - MEDICAL SUPPLY COMPANY","state":"FL","pac_id":"0941625412"}]},"enumeration_date":"2020-06-23","last_updated":"2025-10-10","_meta":{"source":"NPPES","snapshot_date":"2025-10-10","doc_url":"https://findmynpi.com/api"}}