Provider Demographics
NPI:1164316816
Name:ARCHER, CASSY MEGAN LOUIS (MD)
Entity type:Individual
Prefix:DR
First Name:CASSY
Middle Name:MEGAN LOUIS
Last Name:ARCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:CASSY
Other - Middle Name:MEGAN
Other - Last Name:LOUIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2650 DADE AVE APT 1310
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4636
Mailing Address - Country:US
Mailing Address - Phone:347-824-3136
Mailing Address - Fax:
Practice Address - Street 1:133 BENMORE DR STE 201
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-4111
Practice Address - Country:US
Practice Address - Phone:407-646-7757
Practice Address - Fax:407-646-7775
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL42762207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine