| Entity Name: | DR. TANYA SCHRUMPF DC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Jul 2005 (20 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 26 Apr 2007 (18 years ago) |
| Document Number: | P05000102284 |
| FEI/EIN Number | 75-3196881 |
| Address: | 8043 Spyglass Hill Rd, Suite 102, Melbourne, FL 32940 |
| Mail Address: | 8043 Spyglass Hill Rd, Suite 102, Melbourne, FL 32940 |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841404241 | 2007-05-09 | 2007-10-18 | 3206 S HOPKINS AVE, SUITE 19, TITUSVILLE, FL, 327805667, US | 2210 CHENEY HWY, TITUSVILLE, FL, 327806702, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 321-267-0188 |
| Fax | 3212670611 |
Authorized person
| Name | DR. TANYA NANETTE SCHRUMPF |
| Role | OWNER |
| Phone | 3212670188 |
Taxonomy
| Taxonomy Code | 111NR0400X - Rehabilitation Chiropractor |
| License Number | CH9229 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FLORIDA |
| Number | 62063 |
| State | FL |
| Issuer | NPI - DR TANYA SCHRUMPF |
| Number | 1205832565 |
| State | FL |
| Issuer | AETNA - PPO (RCN) |
| Number | 5795559 |
| State | FL |
| Issuer | CIGNA |
| Number | 0206583 |
| State | FL |
| Issuer | AETNA - HMO (RCN) |
| Number | 928556 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BUBBERS, WILLIAM J | Agent | 240 S Courtney Pkwy, MERRITT ISLAND, FL 32952 |
| Name | Role | Address |
|---|---|---|
| SCHRUMPF, TANYA | Chief Executive Officer | 8043 Spyglass Hill Rd, Suite 102 Melbourne, FL 32955 |
| Name | Role | Address |
|---|---|---|
| Schrumpf, Terry | Vice President | 8043 Spyglass Hill Rd, Suite 102 Rockledge, FL 32955 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000036802 | FLORIDA SPORTS & SPINAL REHAB | ACTIVE | 2022-03-18 | 2027-12-31 | No data | 8043 SPYGLASS HILL RD, SUITE 102, MELBOURNE, FL, 32940 |
| G10000008544 | FLORIDA SPORTS AND SPINAL REHAB | EXPIRED | 2010-01-27 | 2015-12-31 | No data | 3206 S. HOPKINS AVE, SUITE 19, TITUSVILLE, FL, 32780 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-02-03 | 8043 Spyglass Hill Rd, Suite 102, Melbourne, FL 32940 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-22 | 8043 Spyglass Hill Rd, Suite 102, Melbourne, FL 32940 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-29 | 240 S Courtney Pkwy, MERRITT ISLAND, FL 32952 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-01-12 | BUBBERS, WILLIAM J | No data |
| CANCEL ADM DISS/REV | 2007-04-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-03-15 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-29 |
| ANNUAL REPORT | 2015-01-27 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State
