Individual
DR. KEVIN M BOEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7700 W SUNRISE BLVD # 200, PLANTATION, FL 33322-4113
(954) 939-5422
Mailing address
7700 W SUNRISE BLVD # 200, PLANTATION, FL 33322-4113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101016466
MI
207P00000X
Emergency Medicine Physician
Primary
OS14492
FL
Other
Enumeration date
05/01/2007
Last updated
06/29/2019
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