Most Relevant Information
Provider Data
| NPI Number: | 1003001058 |
| Provider Name: | AYUMI E BELANGER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | PA 9104224 |
Most Important Dates
| Enumeration Date: | 09/12/2007 |
| Last Updated: | 06/19/2017 |
Provider Practice Location
91 BRANSCOMB RD
SUITE 3
GREEN COVE SPRINGS
FL
320437223
Practice Location Phone/Fax
| Phone: | 9048611034 |
| Fax: | 9048611037 |
Provider Mailing Location
PO BOX 1978
MIDDLEBURG
FL
320501978
Provider Mailing Phone/Fax
| Phone: | 9042826331 |
| Fax: | 9042821550 |