{"npi":"1740202456","type":"NPI-1","status":"active","name":{"display":"Michelle Mendez D.O.","other":[{"code":"1","type":"Formerly known as","value":"EDSROM, MICHELLE RENAE"}],"first":"MICHELLE","last":"MENDEZ","middle":"RENAE","credential":"D.O."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"FL","license":"OS7488"}]},"addresses":[{"purpose":"LOCATION","street_1":"1909 BEACH BLVD","city":"JACKSONVILLE BEACH","state":"FL","postal_code":"322508608","country_code":"US","street_2":"SUITE 102","phone":"9042462752","fax":"9042462758"},{"purpose":"MAILING","street_1":"PO BOX 440055","city":"JACKSONVILLE","state":"FL","postal_code":"322220001","country_code":"US","phone":"9042826331","fax":"9042821550"}],"license":{"state":"FL","number":"OS7488"},"identifiers":[{"type_code":"01","label":"Other","value":"P00369612","state":"FL","issuer":"MEDICARE RAILROAD"},{"type_code":"05","label":"Medicaid","value":"268106400","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040115000858","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"FL","pac_id":"8527969286"}]},"enumeration_date":"2006-07-24","last_updated":"2023-06-09","_meta":{"source":"NPPES","snapshot_date":"2023-06-09","doc_url":"https://findmynpi.com/api"}}