Provider Demographics
NPI:1205832565
Name:SCHRUMPF, TANYA N (DC)
Entity Type:Individual
Prefix:DR
First Name:TANYA
Middle Name:N
Last Name:SCHRUMPF
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:TANYA
Other - Middle Name:
Other - Last Name:DEUKMEDJIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:8043 SPYGLASS HILL RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-8563
Mailing Address - Country:US
Mailing Address - Phone:321-757-6899
Mailing Address - Fax:321-757-6859
Practice Address - Street 1:8043 SPYGLASS HILL RD STE 102
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-8563
Practice Address - Country:US
Practice Address - Phone:321-757-6899
Practice Address - Fax:321-757-6859
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9229111N00000X
FLAPRN11006386363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU8001ZMedicare ID - Type UnspecifiedMEDICARE