STEPHANIE CORIOLAN BELANCOURT (NPI# 1508489972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508489972 |
| Entity Type | Individual |
| Full Name | STEPHANIE CORIOLAN BELANCOURT |
| Credential | MD |
| Practice Address |
4725 N Federal Hwy Fort Lauderdale FL 33308-4603 |
| Mailing Address |
4332 Pine Ridge Ct Weston FL 33331-5027 |
| Practice Telephone | 9549383359 |
| Practice Fax Number | 9544925790 |
| Mailing Telephone | 9546822369 |
| Mailing Fax Number | 9543842496 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4725 N FEDERAL HWY |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902803067 | Richard M Luceri | Internal Medicine | 4725 N Federal Hwy, Jim Moran Heart Center, Suite 502, Fort Lauderdale, FL 33308-4603 | 2005-07-05 |
| 1285250902 | Suzanne Grace Forum | Nurse Anesthetist, Certified Registered | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-06-18 |
| 1700400439 | Chisom Anyanwoke | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-05-28 |
| 1043833544 | Rachel Fayne | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-05-19 |
| 1952924458 | Mahtab Forouzandeh | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-05-19 |
| 1326667775 | Eduardo Arturo Villa | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-04-15 |
| 1629697024 | Yaisa Beatriz Moreno Hernandez | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-04-15 |
| 1063031433 | Ashlyn Elizabeth Reiser | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-04-15 |
| 1982223236 | Jonathan Paul Amodio | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-04-15 |
| 1851910475 | Eric Bray | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1851929459 | Ashley Brightman | Student in an Organized Health Care Education/Training Program | 500 E Las Olas Blvd Apt 1601, Fort Lauderdale, FL 33301-2576 | 2020-03-30 |
| 1780243048 | Colleen Marie Slattery | Student in an Organized Health Care Education/Training Program | 4501 Ne 21st Ln, Fort Lauderdale, FL 33308-4712 | 2019-06-11 |
| 1629631031 | Gabriela Carbonell | Student in an Organized Health Care Education/Training Program | 1301 Sw 18th Ct, Fort Lauderdale, FL 33315-1954 | 2019-04-22 |
| 1932667623 | Katelyn Alyssa Hernandez | Student in an Organized Health Care Education/Training Program | 510 Se 5th Ave Apt 1108, Fort Lauderdale, FL 33301-2998 | 2019-03-12 |
| 1093209306 | Leshawn David Richards | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy Fl Hwy2, Fort Lauderdale, FL 33308-4603 | 2018-06-20 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1710340609 | Christine Roy-mcmahon | Student in an Organized Health Care Education/Training Program | 1107 Ne 1st St, Fort Lauderdale, FL 33301-1601 | 2016-03-30 |
| 1245671882 | Sheila Montalvo | Student in an Organized Health Care Education/Training Program | 5973 Sw 32nd Ter, Fort Lauderdale, FL 33312-6324 | 2013-07-11 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.