Individual provider · Type 1 NPI

Shamir Bergeron, APRN

Family Nurse Practitioner · Maitland, FL

NPI number 1609441609 Active

Practice location

2600 Lake Lucien Dr Ste 112
Maitland, FL 32751-7233

Mailing address

PO Box 40549
Belfast, ME 04915-1256

Other practice locations

  • 5741 Ansley Way, Mount Dora, FL 32757-8005 · (352) 989-7808

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X11013119 (FL)

Family Nurse Practitioner: Definition to come...

11 other providers at this address

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About NPI 1609441609

Shamir Bergeron, APRN's National Provider Identifier is 1609441609, issued on May 21, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maitland, FL. The record was last updated on Jul 24, 2026.