{
  "npi": "1942515804",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "M.D.",
    "authorized_official_first_name": "BIAGIO",
    "authorized_official_last_name": "VULTAGGIO",
    "authorized_official_middle_name": "V",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "9047771650",
    "authorized_official_title_or_position": "Chief Executive Officer",
    "enumeration_date": "2010-08-16",
    "last_updated": "2010-08-25",
    "organization_name": "30 MINUTE MEDICAL PRIMARY CARE",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "30 MIN. MEDICAL, LLC",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "8540 ARGYLE FOREST BLVD.",
      "address_2": "SUITE 6",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "JACKSONVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "904-777-1665",
      "postal_code": "322446314",
      "state": "FL",
      "telephone_number": "904-777-1650"
    },
    {
      "address_1": "8540 ARGYLE FOREST BLVD",
      "address_2": "SUITE 6",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "JACKSONVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "904-777-1665",
      "postal_code": "322446702",
      "state": "FL",
      "telephone_number": "904-777-1650"
    }
  ],
  "taxonomies": [
    {
      "code": "207R00000X",
      "desc": "Internal Medicine",
      "license": "ME96271",
      "primary": true,
      "state": "FL",
      "taxonomy_group": "193400000X - Single Specialty 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 Internist (Adult Diagnostic & Chronic Disease Physician)",
    "certifying_board": "American Board of Internal Medicine (ABIM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "11",
        "medicare_type": "Physician/Internal Medicine"
      }
    ]
  }
}