{"npi":"1992728802","type":"NPI-1","status":"active","name":{"display":"Dr. Charles Dewberry DO","other":[],"first":"CHARLES","last":"DEWBERRY","middle":"T","credential":"DO"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"FL","license":"OS8732"}]},"addresses":[{"purpose":"LOCATION","street_1":"931 S US HIGHWAY 41","city":"INVERNESS","state":"FL","postal_code":"344506860","country_code":"US","phone":"8553537546","fax":"8632942767"},{"purpose":"MAILING","street_1":"1450 6TH ST SE","city":"WINTER HAVEN","state":"FL","postal_code":"338804505","country_code":"US","phone":"8553537546","fax":"8632942767"}],"license":{"state":"FL","number":"OS8732"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"273378100","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20091030000221","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"FL","pac_id":"6204895113"}]},"enumeration_date":"2006-07-25","last_updated":"2018-03-27","_meta":{"source":"NPPES","snapshot_date":"2018-03-27","doc_url":"https://findmynpi.com/api"}}