Provider Demographics
NPI:1861631061
Name:BELANGER, ROBINA W (FNP)
Entity type:Individual
Prefix:
First Name:ROBINA
Middle Name:W
Last Name:BELANGER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 E 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-5536
Mailing Address - Country:US
Mailing Address - Phone:352-735-1400
Mailing Address - Fax:352-735-3300
Practice Address - Street 1:250 E 4TH AVE
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-5536
Practice Address - Country:US
Practice Address - Phone:352-735-1400
Practice Address - Fax:352-735-3300
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9235984363LF0000X
FLAPRN9235984363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLUJ621OtherMEDICARE HFMG
FL125438300Medicaid
FLUJ622OtherMEDICARE HFPS