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MARY ROSE BOEHM MD PA
NPI 1972708162
Clinic/Center - Primary Care in Clermont, FL

Active since June 18, 2007
200 E HIGHLAND AVE, CLERMONT, FL 34711(352) 242-1430(352) 242-1452 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Rose Boehm Md Pa NPPES

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

MARY ROSE BOEHM MD PA (NPI 1972708162) is a healthcare organization registered as a primary care in Clermont, Florida and active in the NPI registry since June 2007. The organization lists Mary Rose Boehm, President, as its authorized official.

NPPES Registry Identity

NPI1972708162
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMARY ROSE BOEHM MD PA
Location Address200 E HIGHLAND AVEClermont, FL 34711-2582
Mailing Address614 E Highway 50Clermont, FL 34711-3164 · (352) 242-1430 · Fax (352) 242-1452
Phone(352) 242-1430
Fax(352) 242-1452
Organization SubpartNo
Authorized OfficialMary Rose BoehmPresident · (352) 242-1430
Enumeration DateJune 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972708162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · ME88288
200 E HIGHLAND AVE, Clermont, FL 34711
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Other Providers at the Same Location NPPES 4

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

MARY ROSE BOEHM MD PA
Internal Medicine
200 E HIGHLAND AVE, SUITE #2
CLERMONT, FL 34711
Lake County (352) 242-1430
DR. CRUZ RANEA MD
General Practice
200 E HIGHLAND AVE
CLERMONT, FL 34711
Lake County (352) 432-8989
DR. JASON ACOSTA MD
General Practice
200 E HIGHLAND AVE
CLERMONT, FL 34711
Lake County (352) 432-8989
MR. LUIS EMILIO SANTIAGO ARNP, FNP-C
Nurse Practitioner (Family)
200 E HIGHLAND AVE
CLERMONT, FL 34711
Lake County (352) 432-8989

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 Mary Rose Boehm MD PA's NPI number?

The NPI number for Mary Rose Boehm MD PA is 1972708162. It was assigned to this organization in the NPPES registry on June 18, 2007.

Where is Mary Rose Boehm MD PA located?

Mary Rose Boehm MD PA is located at 200 E Highland Ave, Clermont, FL 34711. The listed phone number is (352) 242-1430.

What is Mary Rose Boehm MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Mary Rose Boehm MD PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.