Individual
DR. MICHAEL D BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
—
271186900
—
FL
01
—
34-1371375
FEI
FL
01
—
P00699936
RAILROAD MEDICARE
—
01
—
P00830193
RAILROAD MEDICARE ATTACHED TO GRP DQ3034
—
Enumeration date
07/18/2006
Last updated
10/03/2013
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