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 Primary Care Clinic/Center · NPI 1972708162

Mary Rose Boehm MD PA is a Primary Care Clinic/Center in Clermont, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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
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

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence ME88288 (FL)

Record details

NPI number1972708162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Boehm — President · (352) 242-1430
NPI enumeratedJune 18, 2007
Last updated in NPPESAugust 22, 2020
Mailing address614 E Highway 50, Clermont, FL 34711-3164

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