John Archer

NPI #1518324359 in Cape Coral, Florida

Provider Information

NPI Number
1518324359
Entity Type
Organization
Organization Name
John Archer
Primary Specialty
Clinic/Center - Developmental Disabilities
Enumeration Date
Jan 25, 2016
Last Updated
Jan 25, 2016

Practice Location

Address
3626 NE 12TH PL
State
Florida
ZIP Code
33909-8912
Phone
(715) 205-1449

Authorized Official

Name
JOHN RAYMOND ARCHER
Title
OWNER
Phone
(705) 205-1449

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Developmental DisabilitiesDevelopmental Disabilities

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