MEDICARE: ILYSA STRASSLER MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	IMT2746	FL
2	106H00000X	Marriage & Family Therapist	MT3917	FL

General Provider Information

NPI Number	:	1881104214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ILYSA STRASSLER MA

Provider Business Mailing Address
First Line	:	1035 S SEMORAN BLVD STE 1026
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-5512
Country	:	US
Telephone Number	:	407-900-9966
Fax Number	:

Provider Business Practice Location Address
First Line	:	1035 S SEMORAN BLVD STE 1026
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-5512
Country	:	US
Telephone Number	:	407-900-9966
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2017
Last Update Date	:	11/06/2024

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Directions to “ ILYSA STRASSLER MA” Practice Location

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