Active NPIIndividual provider

Irina Gutsalyuk, PA

Physician Assistant in Port Saint Lucie, Florida

NPI Number1073522942
Practice location
370 Southeast Veranda Falls Way, Suite 102, Port Saint Lucie, FL 34984
Fax
772-214-3027
Last updated
July 3, 2025

Irina Gutsalyuk is a Physician Assistant based in Port Saint Lucie, FL. Irina Gutsalyuk practices in Port Saint Lucie, FL and has the professional credentials of PA. The NPI Number for Irina Gutsalyuk is 1073522942 and holds a License No. 009810-1 (NY). The current practice location address for Irina Gutsalyuk is 370 Southeast Veranda Falls Way, Suite 102, Port Saint Lucie, FL 34984 and can be reached out via phone at 772-763-1720 and via fax at 772-214-3027.

Provider Profile Details

NPI Number
1073522942
Provider Name
Irina Gutsalyuk
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
370 Southeast Veranda Falls Way, Suite 102, Port Saint Lucie, FL 34984
Phone Number
772-763-1720
Fax Number
772-214-3027
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Irina Tsur-Tsar (Other Name)
Provider Enumeration Date
August 7, 2006
Last Update Date
July 3, 2025
Certification Date
June 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
370 Southeast Veranda Falls Way
Suite 102
Port Saint Lucie, FL 34984
State
Florida
Zip
34984
Phone Number
772-763-1720
Fax Number
772-214-3027
Port Saint Lucie, FL 34984Get directions →

Provider Business Mailing Address Details

Address
Po Box 20800
Belfast, ME 04915-4105
City
Belfast
State
ME
Zip
04915-4105
Phone Number
888-402-7256
Fax Number
888-902-1099

License Information

License Number (1)
009810-1
License State (1)
NY
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X
License Number (2)
PA9109303
License State (2)
FL
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Irina Gutsalyuk, PA?

The NPI number of Irina Gutsalyuk, PA is 1073522942. It was assigned on August 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Irina Gutsalyuk, PA?

Irina Gutsalyuk, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 009810-1.

Where does Irina Gutsalyuk, PA practice?

The practice location is 370 Southeast Veranda Falls Way, Suite 102, Port Saint Lucie, FL 34984. The office can be reached at 772-763-1720 (phone) or 772-214-3027 (fax).

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 1073522942 directly on the NPPES registry website.

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