Individual
MS. AYUMI E BELANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
91 BRANSCOMB RD, SUITE 3, GREEN COVE SPRINGS, FL 32043-7223
(904) 861-1034
(904) 861-1037
Mailing address
PO BOX 1978, MIDDLEBURG, FL 32050-1978
(904) 282-6331
(904) 282-1550
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9104224
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292842600
—
FL
Enumeration date
09/12/2007
Last updated
06/19/2017
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