JOHN ARCHER (NPI# 1518324359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518324359 |
| Entity Type | Organization |
| Organization Name | JOHN ARCHER |
| Practice Address |
3626 Ne 12th Pl Cape Coral FL 33909-8912 |
| Practice Telephone | 7152051449 |
| Practice Fax Number | 8009287715 |
| Mailing Telephone | 7152051449 |
| Mailing Fax Number | 8009287715 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |
| Authorized Official Name | JOHN RAYMOND ARCHER (OWNER) |
| Authorized Official Telephone | 7052051449 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JOHN ARCHER SCHOOL | 100 Thomas Run Rd, Bel Air, MD 21015-1616 |
| Street Address |
3626 NE 12TH PL |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33909-8912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417433970 | Vicky Doreen Duhaime | Nurse Practitioner | 636 Delprado Blvd South, Cape Coral, FL 33909 | 2018-07-17 |
| 1639562416 | Kimberly Caggiano | Physical Therapy Assistant | 2113 Ne 4th Ave, Cape Coral, FL 33909 | 2015-03-18 |
| 1669861027 | Jerkita Mcclorin | Case Manager/Care Coordinator | 409 Ne 11th Place, Cape Coral, FL 33909 | 2015-01-22 |
| 1033527361 | Jhony R Espinoza | Dentist | 1751 Ne Pine Island Rd Ste 130, Cape Coral, FL 33909 | 2014-07-30 |
| 1568738581 | Arcadia Nursing Home Inc | Home Health | 441 N. Del Prado Blvd., Suite #2, Cape Coral, FL 33909 | 2012-03-23 |
| 1689731762 | Lanie Soriano Benzon | Physical Therapist | 523 E Cape Coral Pkwy, Cape Coral, FL 33909 | 2007-01-02 |
| 1790840676 | One Price Optical | Optometrist | 325 North Del Prado, Cape Coral, FL 33909 | 2006-12-22 |
| 1801969282 | Jerry Todd Mcclaran | Dentist | 2688 Sunset Lake Drive, Cape Coral, FL 33909 | 2006-11-15 |
| 1891805651 | Edward Joseph Hope | Physical Therapy Assistant | 601 Del Prado Blvd N, #3, Cape Coral, FL 33909 | 2006-08-30 |
| 1972577906 | Misty Dawn Green | Chiropractor | 1224 Alabar Ln, Cape Coral, FL 33909 | 2006-02-15 |
| Find all providers in zip 33909 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| 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.). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1619578192 | Elsyoff Care Center LLC | Clinic/Center | 1727 Nw 19th Ter, Cape Coral, FL 33993-4915 | 2020-11-02 |
| 1821551243 | House of Mercy Corp | Clinic/Center | 1418 Se 28th Ter, Cape Coral, FL 33904-3917 | 2019-04-11 |
| 1265887731 | Helping Hands Health Care | Clinic/Center | 2613 Brightside Ct, Cape Coral, FL 33991-3165 | 2016-05-03 |
| 1962790667 | Michelle White | Clinic/Center | 2710 Del Prado Blvd S # 2-146, Cape Coral, FL 33904-5788 | 2011-07-14 |
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|---|---|---|---|---|
| 1578164463 | Jamesas Williams | Clinic/Center | 880 Piedmont Dr Se, Winter Haven, FL 33880-4547 | 2020-11-05 |
| 1942801964 | Aleyda P Blanco | Clinic/Center | 11177 Sw 8th St Apt 308, Pembroke Pines, FL 33025-6987 | 2020-11-05 |
| 1619578978 | Mays Caring Home LLC | Clinic/Center | 103 Shaw Blvd, Fort Myers, FL 33905-2632 | 2020-11-03 |
| 1801497235 | Precious Dreams Group Home #2, Inc. | Clinic/Center | 820 Nw 32nd Ave, Miami, FL 33125-3906 | 2020-11-03 |
| 1417558099 | Trnity Fields Inc | Clinic/Center | 12210 Netherfield Ct, Riverview, FL 33569-4117 | 2020-11-02 |
| 1891395430 | Kettia Noel | Clinic/Center | 1573 Se Clearbrook St, Port Saint Lucie, FL 34983-4050 | 2020-10-30 |
| 1740880871 | Salubrious Home Therapy Services, Inc | Clinic/Center | 3421 Sw 114th Ct, Miami, FL 33165-3330 | 2020-10-28 |
| 1407456718 | Evelyne Charles | Clinic/Center | 3301 White Blossom Ln, Clermont, FL 34711-6366 | 2020-10-27 |
| 1295334191 | Aging At Home LLC | Clinic/Center | 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 | 2020-10-21 |
| 1902405897 | Solution Care Family Inc | Clinic/Center | 3923 Buttercup Cir N, Palm Beach Gardens, FL 33410-5664 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | CAPE CORAL |
| Zip Code | 33909 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.