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

Michael D Boehm MD PA

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1649593773

Michael D Boehm MD PA is a Geriatric Medicine (Internal Medicine) Physician in Plant City, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
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

1601 W Reynolds St Ste 104
Plant City, FL 33563-4748
Phone: (813) 752-4646
Fax: (813) 752-5104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence ME55585 (FL)

Record details

NPI number1649593773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Boehm — Owner / Provider · (813) 752-4646
NPI enumeratedMarch 3, 2010
Last updated in NPPESAugust 9, 2010
Mailing address1601 W Reynolds St, Suite 104, Plant City, FL 33563-4748

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