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Contact Information

GREGORY B ARCHER, PA-C
550-A TWIN CITIES BOULEVARD
ORTHOPAEDIC AND SPINE SURGERY CENTER
NICEVILLE, FL32578
 Phone: 850-729-1444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GREGORY B ARCHER · (Male)

NPI Number 1114085115
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/04/2006
Last updated 01/17/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 1039420
  • FL Other Y05UU BLUECROSSBLUE SHIELD PROVIDER NUMBER
  • FL Other EE914Z MEDICARE PTAN
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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