Kasumova, Iryna V

Kasumova, Iryna V is an individual health care provider with primary practice located at 400 Pinellas St Ste 325 , Clearwater FL 33756-3320. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kasumova, Iryna V can be contacted via phone (727) 298-6121.

Contact Information

Primary practice address
400 Pinellas St Ste 325 Clearwater FL 33756-3320
Phone: (727) 298-6121
Fax: (727) 298-6151
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X APRN9315623 Florida
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 9315623 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9315623 Florida

Profile Details

NPI number 1518402684
LBN Legal business name Kasumova, Iryna V
Credentials AGACNP-BC, MSN, CWS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2016
Last updated Feb 13th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518402684 NPPES
Florida MEDICAID 114956300

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