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John Archer Llc
Developmental Disabilities Clinic/Center in Punta Gorda, Florida
NPI 1063054377

John Archer Llc is a Developmental Disabilities Clinic/Center based in Punta Gorda, FL and is specialized in Developmental Disabilities. John Archer Llc practices in Punta Gorda, FL. The NPI Number for John Archer Llc is 1063054377 and holds a License No. (Florida).

The current practice location address for John Archer Llc is 2013 River Basin Ter, Punta Gorda, FL and can be reached out via phone at 715-205-1449.

Location: 2013 River Basin Ter, Punta Gorda, FL, 33982-1106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063054377
Provider Name
John Archer Llc
Credential
Provider Entity Type
Organization
Address
2013 River Basin Ter, Punta Gorda, FL, 33982-1106
Phone Number
715-205-1449
Fax Number
Provider Enumeration Date
10/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102889500 05 FL
institution
Provider Business Practice Location Address Details
Address
2013 River Basin Ter
City
Punta Gorda
State
Florida
Zip
33982-1106
Phone Number
715-205-1449
Fax Number
person
Provider Business Mailing Address Details
Address
2013 River Basin Ter
City
Punta Gorda
State
Florida
Zip
33982-1106
Phone Number
715-205-1449
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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