{
  "npi": "1285357921",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "CHERYL LEE",
    "authorized_official_last_name": "EBERTING",
    "authorized_official_middle_name": "D.",
    "authorized_official_telephone_number": "8446929682",
    "authorized_official_title_or_position": "FOUNDER",
    "certification_date": "2026-09-09",
    "enumeration_date": "2022-09-19",
    "last_updated": "2026-09-09",
    "organization_name": "AZOVA CARE GROUP (FL), PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "144 S MAIN ST STE 100",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ALPINE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "801-769-1292",
      "postal_code": "840041667",
      "state": "UT",
      "telephone_number": "801-671-7200"
    },
    {
      "address_1": "144 S MAIN ST STE 100",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ALPINE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "840041667",
      "state": "UT",
      "telephone_number": "801-671-7200"
    }
  ],
  "taxonomies": [
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208000000X",
      "desc": "Pediatrics",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "251S00000X",
      "desc": "Community/Behavioral Health",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QH0100X",
      "desc": "Clinic/Center, Health Services",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QM0850X",
      "desc": "Clinic/Center, Adult Mental Health",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QM0855X",
      "desc": "Clinic/Center, Adolescent and Children Mental Health",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QM2500X",
      "desc": "Clinic/Center, Medical Specialty",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "291U00000X",
      "desc": "Clinical Medical Laboratory",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)",
    "certifying_board": "American Board of Family Medicine (ABFM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "08",
        "medicare_type": "Physician/Family Practice"
      }
    ]
  }
}