{"npi":"1730570219","type":"NPI-2","status":"active","name":{"display":"Robert Bruce Killeen Jr. M.D. P.A.","other":[],"organization_name":"ROBERT BRUCE KILLEEN JR. M.D. P.A.","authorised_official":"Robert Killeen"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":"FL","license":"ME58217"}]},"addresses":[{"purpose":"LOCATION","street_1":"2520 US HIGHWAY 19","city":"HOLIDAY","state":"FL","postal_code":"346913846","country_code":"US","phone":"7279450515","fax":"7279344045"},{"purpose":"MAILING","street_1":"2520 US HIGHWAY 19","city":"HOLIDAY","state":"FL","postal_code":"346913846","country_code":"US","phone":"7279450515","fax":"7279344045"}],"license":{"state":"FL","number":"ME58217"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"054208300","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20150402001519","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"4587981444"}]},"enumeration_date":"2015-02-05","last_updated":"2015-02-05","_meta":{"source":"NPPES","snapshot_date":"2015-02-05","doc_url":"https://findmynpi.com/api"}}