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John Archer LLC

John Archer LLC is a healthcare organization registered as Developmental Disabilities Clinic/Center in Punta Gorda, FL, holding Type 2 (organization) NPI 1063054377 since 2019. The authorized official on file is John Archer, Ceo.

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NPI 1063054377
Entity type Organization (Type 2)
Legal business name John Archer LLC
Practice address 2013 RIVER BASIN TER, Punta Gorda, FL, 33982
Phone 7152051449
Enumeration date 2019-10-09
Last updated in NPPES 2019-10-09

Authorized official

Name John Archer
Title Ceo
Phone 7152051449

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QD1600X Developmental Disabilities Clinic/Center Primary

Other identifiers

Identifier Type State Issuer
102889500 Medicaid FL
Copy-ready billing details
Provider: John Archer LLC
NPI: 1063054377
Taxonomy: 261QD1600X (Developmental Disabilities Clinic/Center)
Address: 2013 RIVER BASIN TER, Punta Gorda, FL, 33982

Verify this record

Cross-check NPI 1063054377 against the authoritative CMS record: view John Archer LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-10-09. Verify at npiregistry.cms.hhs.gov.
Where is John Archer LLC located?
The practice location on file with NPPES is in Punta Gorda, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-10-09.