Provider Demographics
NPI:1356641989
Name:SCHLUMBRECHT, BENJAMIN LOZIER TANNER (APRN)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:LOZIER TANNER
Last Name:SCHLUMBRECHT
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 NW 14TH ST STE 1136
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2107
Mailing Address - Country:US
Mailing Address - Phone:305-243-2169
Mailing Address - Fax:
Practice Address - Street 1:1120 NW 14TH ST # 1136
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2107
Practice Address - Country:US
Practice Address - Phone:305-243-2169
Practice Address - Fax:305-243-1538
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9427644363LF0000X
UT7622533-3102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9427644OtherAPRN LICENSE
FLMS4820862OtherDEA