{"npi":"1760504682","type":"NPI-2","status":"active","name":{"display":"Brandon Dermatology P A","other":[],"organization_name":"BRANDON DERMATOLOGY P A","authorised_official":"Andres Tobon"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"FL","license":"OS7868"}]},"addresses":[{"purpose":"LOCATION","street_1":"405 W BLOOMINGDALE AVE","city":"BRANDON","state":"FL","postal_code":"335117401","country_code":"US","phone":"8136623376","fax":"8136623009"},{"purpose":"MAILING","street_1":"405 W BLOOMINGDALE AVE","city":"BRANDON","state":"FL","postal_code":"335117401","country_code":"US","phone":"8136623376","fax":"8136623009"}],"license":{"state":"FL","number":"OS7868"},"identifiers":[{"type_code":"01","label":"Other","value":"AL785","state":"FL","issuer":"MEDICARE PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080826000211","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"3779658786"}]},"enumeration_date":"2007-04-03","last_updated":"2008-09-19","_meta":{"source":"NPPES","snapshot_date":"2008-09-19","doc_url":"https://findmynpi.com/api"}}