MS. AYUMI E BELANGER PA-C NPI 1003001058

Physician Assistant (Medical) in Green Cove Springs, FL

About AYUMI BELANGER

Ayumi Belanger is a provider in Green Cove Springs, FL. The NPI number assigned to this provider is 1003001058. The practitioner's primary taxonomy code is Physician Assistant (363AM0700X). The provider is registered as an individual and their NPI record was last updated one year ago.

NPI	1003001058 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	MS. AYUMI E BELANGER PA-C
Provider Location Address	91 BRANSCOMB RD SUITE 3 GREEN COVE SPRINGS, FL 32043 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	PO BOX 1978 MIDDLEBURG, FL 32050 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Gender	Female
NPI Entity Type	Individual Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?	No
Is Organization Subpart?	N/A What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date	09-12-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	06-19-2017 Last update date The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code	363AM0700X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Physician Assistant
Type	Physician Assistants & Advanced Practice Nursing Providers
Specialization	Medical
License No.	PA 9104224
License State	FL

Business Address

MS. AYUMI E BELANGER PA-C
91 BRANSCOMB RD
SUITE 3
GREEN COVE SPRINGS, FL
ZIP 32043
Phone: (904) 861-1034
Fax: (904) 861-1037

Get Directions

Mailing Address

MS. AYUMI E BELANGER PA-C
PO BOX 1978
MIDDLEBURG, FL
ZIP 32050
Phone: (904) 282-6331
Fax: (904) 282-1550

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
292842600	MEDICAID (05)	FL

Other Providers at the same location

The following 3 providers are registered at the same or nearby location.

NPI	Name / Type	Taxonomy	Address
1184657306	MARIA E MORA MD PA Organization	Pediatrics	91 BRANSCOMB RD SUITE 3 GREEN COVE SPRINGS, FL 32043 (904) 861-1034
1497187843	HEALTHY SCHOOLS, LLC Organization	General Practice	91 BRANSCOMB RD SUITE 3 GREEN COVE SPRINGS, FL 32043 (904) 834-2679
1538457874	MRS. APRIL RAE STONE D.M.D. Individual	Dentist (General Practice)	91 BRANSCOMB RD SUITE 7 GREEN COVE SPRINGS, FL 32043 (904) 284-6688

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