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MS. AYUMI E BELANGER PA-C NPI 1003001058

NPI Profile

NPI: 1003001058
Provider Name: MS. AYUMI E BELANGER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
91 BRANSCOMB RD
SUITE 3
GREEN COVE SPRINGS, FL
ZIP 32043

Phone: (904) 861-1034

MS. Ayumi E Belanger, PA-C is a healthcare provider in Green Cove Springs, FL. MS. Ayumi E Belanger, PA-C NPI is 1003001058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

91 BRANSCOMB RD
SUITE 3
GREEN COVE SPRINGS, FL
ZIP 32043-223
Phone: (904) 861-1034
Fax: (904) 861-1037

The enumeration date for this NPI number is 9/12/2007 and was last updated on 6/19/2017.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA 9104224FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1292842600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/10/2018

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