Ms Iryna Yusupova Lopez, MA, ITDS is a
Early Intervention Provider Agency based in Fruitland Park, Florida. Ms Iryna Yusupova Lopez is licensed to practice in * (Not Available) (license number ) and her current practice location is
3261 Us Hwy 441 Unit B3, Fruitland Park, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 323-0612.
NPI number for Ms Iryna Yusupova Lopez is 1326191982 and her current mailing address is 1526 Providence Cir, Orlando, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326191982.
Healthcare Provider's Profile
| Full Name | Ms Iryna Yusupova Lopez |
|---|
| Gender | Female |
|---|
| Speciality | Early Intervention Provider Agency |
|---|
| Location | 3261 Us Hwy 441 Unit B3, Fruitland Park, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326191982
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 11/29/2021
Medical Identifiers
Medical identifiers for Ms Iryna Yusupova Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326191982 | NPI | - | NPPES |
| 811804300 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Iryna Yusupova Lopez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Iryna Yusupova Lopez, MA, ITDS
1526 Providence Cir,
Orlando, FL 32818-5708
Ph: (352) 394-0212 | Ms Iryna Yusupova Lopez, MA, ITDS
3261 Us Hwy 441 Unit B3,
Fruitland Park, FL 34731
Ph: (352) 323-0612 |
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