Individual
IRINA GUTSALYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
370 SOUTHEAST VERANDA FALLS WAY, SUITE 102, PORT SAINT LUCIE, FL 34984
(772) 763-1720
(772) 214-3027
Mailing address
PO BOX 20800, BELFAST, ME 04915-4105
(888) 402-7256
(888) 902-1099
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109303
FL
363AS0400X
Surgical Physician Assistant
009810-1
NY
Other
Enumeration date
08/07/2006
Last updated
07/03/2025
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