Provider Demographics
NPI:1497772495
Name:BELANGER, SHERYL C (MD)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:C
Last Name:BELANGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1200 KENNEDY DR STE 2032
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4023
Mailing Address - Country:US
Mailing Address - Phone:305-294-1706
Mailing Address - Fax:305-294-1764
Practice Address - Street 1:1111 12TH ST STE 301
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-3001
Practice Address - Country:US
Practice Address - Phone:305-294-1706
Practice Address - Fax:305-294-1764
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2024-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME169721207Q00000X
CO47768207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G80225Medicare UPIN