MEDICARE: MINDY S BOHRER MD

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	207RX0202X	Medical Oncology Physician	ME96414	FL
2	207RH0003X	Hematology & Oncology Physician	ME96414	FL
3	207RH0003X	Hematology & Oncology Physician	76084	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01594394	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	56361	OTHER	FL	BCBS
4	P971234	OTHER	FL	OPTIMUM
5	QMP000003724595	OTHER	FL	MOLINA
6	P1035508	OTHER	FL	FREEDOM
7	14391	OTHER	FL	DIMENSION HEALTH
8	0841632	OTHER	FL	CIGNA
9	304945	OTHER	FL	AVMED
10	5760711	OTHER	FL	AETNA
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902895360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINDY S BOHRER MD

Provider Business Mailing Address
First Line	:	1192 EAST NEWPORT CENTER DRIVE
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442
Country	:	US
Telephone Number	:	954-571-0111
Fax Number	:	954-509-9793

Provider Business Practice Location Address
First Line	:	1192 EAST NEWPORT CENTER DRIVE
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442
Country	:	US
Telephone Number	:	954-571-0111
Fax Number	:	954-509-9793

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

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	01/26/2026

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Directions to “ MINDY S BOHRER MD” Practice Location

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