MEDICARE: DR. CLIFFORD E. BOEHM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	ME118060	FL

General Provider Information

NPI Number	:	1902846207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLIFFORD E. BOEHM M.D.

Provider Business Mailing Address
First Line	:	7201 N UNIVERSITY DR
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-2913
Country	:	US
Telephone Number	:	954-724-6122
Fax Number	:

Provider Business Practice Location Address
First Line	:	7201 N UNIVERSITY DR
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-2913
Country	:	US
Telephone Number	:	954-724-6122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	05/01/2025

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