{"npi":"1730378282","type":"NPI-2","status":"active","name":{"display":"Edward Fetherolf M D P A","other":[],"organization_name":"EDWARD FETHEROLF M D P A","authorised_official":"Edward Fetherolf"},"specialty":{"primary_taxonomy":"207W00000X","primary_taxonomy_description":"Ophthalmology Physician","slug":"ophthalmology-physician","schema_org_specialty":null,"all":[{"code":"207W00000X","description":"Ophthalmology Physician","primary":true,"state":"FL","license":"ME30596"}]},"addresses":[{"purpose":"LOCATION","street_1":"1500 PLACIDA RD","city":"ENGLEWOOD","state":"FL","postal_code":"342234955","country_code":"US","street_2":"SUITE B2","phone":"9414742266","fax":"9414757274"},{"purpose":"MAILING","street_1":"1500 PLACIDA RD","city":"ENGLEWOOD","state":"FL","postal_code":"342234955","country_code":"US","street_2":"SUITE B2","phone":"9414742266","fax":"9414757274"}],"license":{"state":"FL","number":"ME30596"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"374759000","state":"FL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-10-22","last_updated":"2015-05-13","_meta":{"source":"NPPES","snapshot_date":"2015-05-13","doc_url":"https://findmynpi.com/api"}}