Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Rose Boehm MD PA

Organization Internal Medicine Physician · NPI 1053402156

Mary Rose Boehm MD PA is an Internal Medicine Physician in Clermont, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 E Highland Ave Ste #2
Clermont, FL 34711-2582
Phone: (352) 242-1430
Fax: (352) 242-1452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME 88288 (FL)

Record details

NPI number1053402156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Boehm — President · (352) 242-1430
NPI enumeratedSeptember 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address614 E Highway 50, Box 304, Clermont, FL 34711-3164

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