NPI 1003001058

Ayumi E Belanger, PAC

Practitioner Medical Physician Assistant Green Cove Springs, FL

Practice location

Address: 91 Branscomb Rd Suite 3, Green Cove Springs, FL 32043-7223
Phone: (904) 861-1034
Fax: (904) 861-1037
Mailing address: PO Box 1978, Middleburg, FL 32050-1978

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA 9104224 (FL)

Other Physician Assistant providers in Florida →

Registry record

NPI: 1003001058
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2007
Record last updated: 19 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.