{"npi":"1912945940","type":"NPI-2","status":"active","name":{"display":"Tebar Medical Supplies & Equipment, Inc.","other":[],"organization_name":"TEBAR MEDICAL SUPPLIES & EQUIPMENT, INC.","authorised_official":"Theresa Barroso"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332BP3500X","description":"Parenteral & Enteral Nutrition Supplies (DME)","primary":false,"state":"FL","license":"332BP3500X"},{"code":"332BX2000X","description":"Oxygen Equipment & Supplies (DME)","primary":false,"state":"FL","license":"OXYGEN 32:03324"},{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":"FL","license":"AHCA 2087"}]},"addresses":[{"purpose":"LOCATION","street_1":"14341 SW 120TH ST","city":"MIAMI","state":"FL","postal_code":"331867032","country_code":"US","street_2":"SUITE 102","phone":"3053820510","fax":"3053820520"},{"purpose":"MAILING","street_1":"14341 SW 120TH ST","city":"MIAMI","state":"FL","postal_code":"331867032","country_code":"US","street_2":"SUITE 102","phone":"3053820510","fax":"3053820520"}],"license":{"state":"FL","number":"AHCA 2087"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"026235800","state":"FL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-03","last_updated":"2011-11-11","_meta":{"source":"NPPES","snapshot_date":"2011-11-11","doc_url":"https://findmynpi.com/api"}}