MEDICARE: MR. DANA MICHAEL SCHUMAN APRN

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	363LA2100X	Acute Care Nurse Practitioner	11010961	FL
2	363LG0600X	Gerontology Nurse Practitioner	11010961	FL
3	363LA2200X	Adult Health Nurse Practitioner	APRN11010961	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11010961	OTHER	FL	STATE BOARD OF NURSING
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417546854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANA MICHAEL SCHUMAN APRN

Provider Business Mailing Address
First Line	:	16673 NE 35TH AVE UNIT 1
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-3827
Country	:	US
Telephone Number	:	561-756-5559
Fax Number	:

Provider Business Practice Location Address
First Line	:	16673 NE 35TH AVE UNIT 1
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-3827
Country	:	US
Telephone Number	:	561-756-5559
Fax Number	:

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

Provider Enumeration Date	:	01/11/2021
Last Update Date	:	07/09/2021

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