Mary Rose Boehm MD PA

NPI #1053402156 in Clermont, Florida

Provider Information

NPI Number: 1053402156
Entity Type: Organization
Organization Name: Mary Rose Boehm MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Sep 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 200 E HIGHLAND AVE
Address 2: SUITE #2
City: Clermont
State: Florida
ZIP Code: 34711-2582
Phone: (352) 242-1430

Authorized Official

Name: DR. MARY ROSE BOEHM, MD
Title: PRESIDENT
Phone: (352) 242-1430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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