OrganizationActive
Mary Rose Boehm MD PA
NPI 1053402156 · Internal Medicine Physician · Clermont, FL
Provider details
- NPI number
- 1053402156
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Boehm, President(352) 242-1430
- License
- ME 88288 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
200 E Highland Ave
Suite #2
Clermont, FL 34711-2582
Phone: (352) 242-1430
Fax: (352) 242-1452
Approximate (ZIP-level) locationGet directions
Mailing address
614 E Highway 50
Clermont, FL 34711-3164
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.