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MICHAEL D BOEHM MD PA
NPI 1649593773
Internal Medicine - Geriatric Medicine in Plant City, FL

Active since March 03, 2010
1601 W REYNOLDS ST, SUITE 104, PLANT CITY, FL 33563(813) 752-4646(813) 752-5104 Get Directions Write a Review

NPPES record last updated: August 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael D Boehm Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL D BOEHM MD PA (NPI 1649593773) is a healthcare organization registered as a geriatric medicine in Plant City, Florida and active in the NPI registry since March 2010. The organization lists Michael Daniel Boehm, Owner / Provider, as its authorized official.

NPPES Registry Identity

NPI1649593773
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameMICHAEL D BOEHM MD PA
Location Address1601 W REYNOLDS ST, SUITE 104Plant City, FL 33563-4748
Mailing Address1601 W Reynolds St, Suite 104Plant City, FL 33563-4748 · (813) 752-4646 · Fax (813) 752-5104
Phone(813) 752-4646
Fax(813) 752-5104
Organization SubpartNo
Authorized OfficialMichael Daniel BoehmOwner / Provider · (813) 752-4646
Enumeration DateMarch 3, 2010
Last NPPES UpdateAugust 9, 2010
✔ NPI 1649593773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in FL · ME55585
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1601 W REYNOLDS ST, Plant City, FL 33563
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Other Identifiers 3

Medicaid271188500FL
OtherDQ3034Railroad Medicare
Medicare PINCY599AFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. VARGHESE KODIYAN LCSW,PA
Social Worker (Clinical)
1601 W REYNOLDS ST
PLANT CITY, FL 33563
Hillsborough County (813) 245-7326
TOTAL CARE NURSE PRACTITIONER LLC
Clinic/Center (Primary Care)
1601 W REYNOLDS ST
PLANT CITY, FL 33563
Hillsborough County (863) 800-9834
MPN MEDICAL CENTER PLANT CITY
Family Medicine
1601 W REYNOLDS ST
PLANT CITY, FL 33563
Hillsborough County (813) 659-1111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael D Boehm MD PA's NPI number?

The NPI number for Michael D Boehm MD PA is 1649593773. It was assigned to this organization in the NPPES registry on March 3, 2010.

Where is Michael D Boehm MD PA located?

Michael D Boehm MD PA is located at 1601 W Reynolds St Suite 104, Plant City, FL 33563. The listed phone number is (813) 752-4646.

What is Michael D Boehm MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Michael D Boehm MD PA was last updated on August 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.