Individual
DR. ALLISON BETH BOEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1210 WATERMAN WAY, TAVARES, FL 32778-5229
(352) 343-2364
(352) 253-0022
Mailing address
1210 WATERMAN WAY, TAVARES, FL 32778-5229
(352) 343-2364
(352) 253-0022
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MD.36915
AL
208800000X
Urology Physician
Primary
ME142814
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218921
—
AL
05
—
226108
—
AL
01
—
6942025
BCBS ALABAMA
AL
Enumeration date
04/16/2013
Last updated
03/02/2020
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