- Practice location
- 2600 Lake Lucien Dr Ste 112, Maitland, FL 32751-7233
- Phone
- 248-266-4200
- Fax
- —
- Last updated
- July 24, 2026
Shamir Bergeron is a Nurse Practitioner, Family based in Maitland, FL. Shamir Bergeron practices in Maitland, FL and has the professional credentials of APRN. The NPI Number for Shamir Bergeron is 1609441609 and holds a License No. 11013119 (FL). The current practice location address for Shamir Bergeron is 2600 Lake Lucien Dr Ste 112, Maitland, FL 32751-7233 and can be reached out via phone at 248-266-4200.
Provider Profile Details
- NPI Number
- 1609441609
- Provider Name
- Shamir Bergeron
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2600 Lake Lucien Dr Ste 112, Maitland, FL 32751-7233
- Phone Number
- 248-266-4200
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 21, 2021
- Last Update Date
- July 24, 2026
- Certification Date
- July 24, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2600 Lake Lucien Dr Ste 112
Maitland, FL 32751-7233 - City
- Maitland
- State
- Florida
- Zip
- 32751-7233
- Phone Number
- 248-266-4200
Provider Business Mailing Address Details
- Address
- Po Box 40549
Belfast, ME 04915-1256 - City
- Belfast
- State
- ME
- Zip
- 04915-1256
- Phone Number
- 321-207-9029
License Information
- License Number
- 11013119
- License State
- FL
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Shamir Bergeron, APRN?
The NPI number of Mrs. Shamir Bergeron, APRN is 1609441609. It was assigned on May 21, 2021 and is currently active in the NPPES registry.
What is the specialty of Mrs. Shamir Bergeron, APRN?
Mrs. Shamir Bergeron, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in FL under license number 11013119.
Where does Mrs. Shamir Bergeron, APRN practice?
The practice location is 2600 Lake Lucien Dr Ste 112, Maitland, FL 32751-7233. The office can be reached at 248-266-4200 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609441609 directly on the NPPES registry website.