Yusupova Lopez, Iryna
Yusupova Lopez, Iryna is an sole proprietor health care provider with primary practice located at 3261 Us Hwy 441 Unit B3 , Fruitland Park FL 34731. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Yusupova Lopez, Iryna can be contacted via phone (352) 323-0612.Contact Information
Primary practice address
3261 Us Hwy 441 Unit B3
Fruitland Park FL 34731
Phone: (352) 323-0612
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1326191982 |
|---|---|
| LBN Legal business name | Yusupova Lopez, Iryna |
| Credentials | M.A., ITDS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Feb 17th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326191982 | NPPES |
| Florida | MEDICAID | 811804300 |
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