{"npi":"1821699232","type":"NPI-2","status":"active","name":{"display":"Orlando Dermatology Clinic LLC","other":[],"organization_name":"ORLANDO DERMATOLOGY CLINIC LLC","authorised_official":"Tarek Shaath"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207ND0101X","description":"Dermatology, Mohs Surgery","primary":false,"state":null,"license":null},{"code":"207NS0135X","description":"Procedural Dermatology Physician","primary":false,"state":null,"license":null},{"code":"332900000X","description":"Non-Pharmacy Dispensing Site","primary":false,"state":null,"license":null},{"code":"207N00000X","description":"Dermatology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1950 SUNNY CREST DR STE 1600","city":"FULLERTON","state":"CA","postal_code":"928353642","country_code":"US","phone":"3522183211"},{"purpose":"MAILING","street_1":"1040 LAKE SUMTER LNDG","city":"THE VILLAGES","state":"FL","postal_code":"321622697","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2020-11-03","last_updated":"2022-08-26","_meta":{"source":"NPPES","snapshot_date":"2022-08-26","doc_url":"https://findmynpi.com/api"}}