Organization
MARY ROSE BOEHM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ROSE BOEHM MD (PRESIDENT)
(352) 242-1430
Entity
Organization
Contact information
Practice address
200 E HIGHLAND AVE, CLERMONT, FL 34711-2582
(352) 242-1430
(352) 242-1452
Mailing address
614 E HIGHWAY 50, CLERMONT, FL 34711-3164
(352) 242-1430
(352) 242-1452
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME88288
FL
Other
Enumeration date
06/18/2007
Last updated
08/22/2020
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