Provider Demographics
NPI:1558593558
Name:SCHOONMAKER, DANA K (DC)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:K
Last Name:SCHOONMAKER
Suffix:
Gender:F
Credentials:DC
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Mailing Address - Street 1:142 PARLIAMENT LOOP
Mailing Address - Street 2:SUITE 1006
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3562
Mailing Address - Country:US
Mailing Address - Phone:407-878-3913
Mailing Address - Fax:407-878-3912
Practice Address - Street 1:142 PARLIAMENT LOOP
Practice Address - Street 2:SUITE 1006
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3562
Practice Address - Country:US
Practice Address - Phone:407-878-3913
Practice Address - Fax:407-878-3912
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-10
Last Update Date:2024-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLCH9772111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108020800Medicaid