OrganizationActive
Mary Rose Boehm MD PA
NPI 1972708162 · Primary Care Clinic/Center · Clermont, FL
Provider details
- NPI number
- 1972708162
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Boehm, President(352) 242-1430
- License
- ME88288 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 E Highland Ave
Clermont, FL 34711-2582
Phone: (352) 242-1430
Fax: (352) 242-1452
Street-level locationGet directions
Mailing address
614 E Highway 50
Clermont, FL 34711-3164
Registry dates
- Enumerated
- 2007-06-18
- 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.