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Contact Information

LAURIE K BOEHM, PA
7720 US HIGHWAY 98 W
SUITE 110
MIRAMAR BEACH, FL32550-7230
 Phone: 850-267-1603
 Fax: 850-622-3342
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LAURIE K BOEHM · (Female)

NPI # 1013090018
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/23/2006
Last updated 09/17/2012 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9103644
  • FL Medicaid 292612100
Hospital affiliation(s)
  • GULF COAST MEDICAL CENTER - (Acute Care)
    449 W 23RD ST
    PANAMA CITY, FL 32405
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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