Organization
MICHAEL D BOEHM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DANIEL BOEHM MD (OWNER / PROVIDER)
(813) 752-4646
Entity
Organization
Contact information
Practice address
1601 W REYNOLDS ST, SUITE 104, PLANT CITY, FL 33563-4748
(813) 752-4646
(813) 752-5104
Mailing address
1601 W REYNOLDS ST, SUITE 104, PLANT CITY, FL 33563-4748
(813) 752-4646
(813) 752-5104
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME55585
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271188500
—
FL
01
—
DQ3034
RAILROAD MEDICARE
—
Enumeration date
03/03/2010
Last updated
08/09/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up