MEDICARE: MS. MICHELLE LYNN BELANGER A.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC252	ME
2	171100000X	Acupuncturist	AP1862	FL

General Provider Information

NPI Number	:	1487830139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHELLE LYNN BELANGER A.P.

Provider Business Mailing Address
First Line	:	2962 TRIVIUM CIR STE 107
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-4656
Country	:	US
Telephone Number	:	954-243-9954
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 N PARK RD
Second Line	:	SUITE 401
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6917
Country	:	US
Telephone Number	:	954-243-9954
Fax Number	:	954-983-1160

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2008
Last Update Date	:	11/14/2024

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