Michael D Boehm Md Pa

LBN: Michael D Boehm Md Pa
Michael D Boehm Md Pa is an health care organization with primary practice located at 1601 W Reynolds St Suite 104, Plant City FL 33563-4748. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Michael D Boehm Md Pa can be contacted via phone (813) 752-4646, or through Boehm, Michael Daniel via phone (813) 752-4646.

Contact Information

Primary practice address
1601 W Reynolds St Suite 104 Plant City FL 33563-4748
Phone: (813) 752-4646
Fax: (813) 752-5104
Website:
Map and Directions
Authorized official contact:
Name: Boehm, Michael Daniel Doctor of Medicine (MD)
Phone: (813) 752-4646

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME55585 Florida

Profile Details

NPI number 1649593773
LBN Legal business name Michael D Boehm Md Pa
DBA Doing business as
Authorized official Boehm, Michael Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2010
Last updated Aug 9th, 2010 - about 14 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 1649593773 NPPES
Other DQ3034 RAILROAD MEDICARE
MEDICAID 271188500 RAILROAD MEDICARE

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