10D1022456 CLIA NUMBER - MARY ROSE BOEHM MD PA

Laboratory Demographics

CLIA Number: 10D1022456

Facility Name: MARY ROSE BOEHM MD PA

Facility Address:
1655 EAST HIGHWAY 50 SUITE 202
CLERMONT, FL
ZIP 34711
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Facility Phone Number: 352 242-1430

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053402156

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D1022456
LAB Type	Physician Office
Facility Name	MARY ROSE BOEHM MD PA
Street	1655 EAST HIGHWAY 50 SUITE 202
City	CLERMONT
State	FL
ZIP	34711
Phone	352 242-1430
CertificateType	4
CertificateEffectiveDate	2/17/2024
CertificateExpirationDate	2/16/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024