Individual
DR. MICHAEL ALAN ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
907 MAR WALT DR, SUITE 2012, FORT WALTON BEACH, FL 32547-6960
(850) 863-1447
(850) 863-5350
Mailing address
907 MAR WALT DR, SUITE 2012, FORT WALTON BEACH, FL 32547-6960
(850) 863-1447
(850) 863-5350
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME-0038568
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04056
INSURANCE PROVIDER NUMBER
FL
Enumeration date
01/23/2007
Last updated
07/09/2007
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