Provider Demographics
NPI:1477584373
Name:ARCHBOLD, ELSA (AP)
Entity Type:Individual
Prefix:MRS
First Name:ELSA
Middle Name:
Last Name:ARCHBOLD
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6160 SW HIGHWAY 200
Mailing Address - Street 2:SUITE 105
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-8307
Mailing Address - Country:US
Mailing Address - Phone:352-291-2554
Mailing Address - Fax:352-291-2554
Practice Address - Street 1:6160 SW HIGHWAY 200
Practice Address - Street 2:SUITE 105
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-8307
Practice Address - Country:US
Practice Address - Phone:352-291-2554
Practice Address - Fax:352-291-2554
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2040171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist