John Archer Llc

LBN: John Archer Llc
John Archer Llc is an health care organization with primary practice located at 2013 River Basin Ter , Punta Gorda FL 33982-1106. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. John Archer Llc can be contacted via phone (715) 205-1449, or through Archer, John Raymond via phone (715) 205-1449.

Contact Information

Primary practice address
2013 River Basin Ter Punta Gorda FL 33982-1106
Phone: (715) 205-1449
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Archer, John Raymond
Phone: (715) 205-1449

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1063054377
LBN Legal business name John Archer Llc
DBA Doing business as
Authorized official Archer, John Raymond
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2019
Last updated Oct 9th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063054377 NPPES
Florida MEDICAID 102889500

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