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Contact Information

SANDRA K ARCHIBALD, MD
461 S NOVA RD
ORMOND BEACH, FL32174
 Phone: 386-671-4337
 Fax: 386-671-1127
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SANDRA K ARCHIBALD · (Female)

NPI # 1538147665
Status Active
Credentials MD
Entity Individual
Enumeration date 01/09/2006
Last updated 02/13/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # 104271
  • KY License # 35509
  • IN Medicaid 200301090A
  • KY Medicaid 64025554
  • Other 029882600 FEDERAL BLACK LUNG GROUP
  • Other 930097462 RAILROAD MEDICARE
  • KY Other 000000057678 ANTHEM GROUP NUMBER
  • KY Other 1131059 PASSPORT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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