MARY ROSE BOEHM MD PA NPI 1972708162

NPI Information

NPI: 1972708162
Provider Name: MARY ROSE BOEHM MD PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
200 E HIGHLAND AVE
CLERMONT, FL
ZIP 34711
Phone: (352) 242-1430
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MARY ROSE BOEHM MD PA is a primary care clinic center in Clermont, FL. MARY ROSE BOEHM MD PA NPI is 1972708162. The provider is registered as an organization entity type.

The provider's business location address is:

200 E HIGHLAND AVE
CLERMONT, FL
ZIP 34711-582
Phone: (352) 242-1430
Fax: (352) 242-1452

The provider's authorized official is Mary Rose Boehm .
The authorized official title is President and has the following contact phone number (352) 242-1430.

The enumeration date for this NPI number is 6/18/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	ME88288	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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