Provider Demographics
NPI:1841633484
Name:SCHRUFER-POLAND, TABITHA LEE (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:TABITHA
Middle Name:LEE
Last Name:SCHRUFER-POLAND
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:TABITHA
Other - Middle Name:LEE
Other - Last Name:SCHRUFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:2415 N ORANGE AVE STE 402
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-5505
Mailing Address - Country:US
Mailing Address - Phone:407-622-0560
Mailing Address - Fax:
Practice Address - Street 1:2415 N ORANGE AVE STE 402
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-5505
Practice Address - Country:US
Practice Address - Phone:407-622-0560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-13
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0064785207V00000X
MO2016014747207V00000X
FLME163120207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology