Mary Rose Boehm Md Pa

LBN: Mary Rose Boehm Md Pa
Mary Rose Boehm Md Pa is an health care organization with primary practice located at 200 E Highland Ave Suite #2, Clermont FL 34711-2582. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mary Rose Boehm Md Pa can be contacted via phone (352) 242-1430, or through Boehm, Mary Rose via phone (352) 242-1430.

Contact Information

Primary practice address
200 E Highland Ave Suite #2 Clermont FL 34711-2582
Phone: (352) 242-1430
Fax: (352) 242-1452
Website:
Map and Directions
Authorized official contact:
Name: Boehm, Mary Rose Doctor of Medicine (MD)
Phone: (352) 242-1430

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 88288 Florida

Profile Details

NPI number 1053402156
LBN Legal business name Mary Rose Boehm Md Pa
DBA Doing business as
Authorized official Boehm, Mary Rose Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053402156 NPPES
Florida Other 7042549 AETNA
Florida Other 81213 AETNA

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