License Verification

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KEVIN MACKE BOEHM

License Number: OS14992

Data As Of 12/22/2024

Profession
Osteopathic Physician
License
OS14992
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
11/14/2017
Address of Record
Broward Health North
Dept of EM
201 E Sample Rd
POMPANO BEACH, FL 33064
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
Broward Health Imperial Point Department of Emergency Medicine 6401 N Federal Hwy
FORT LAUDERDALE, FL 33308
Address
Broward Health Coral Springs Department of Emergency Medicine
CORAL SPRINGS, FL 33065
Address
Broward Health Medical Center Department of Emergency Medicine 1600 S Andrews Ave
FORT LAUDERDALE, FL 33316
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
GELMAN, TATYANA Prescribing Physician Assistant Physician Assistant 9104728 10/8/2018
PETRUK, DIANA MICHELLE Prescribing Physician Assistant Physician Assistant 9108430 2/11/2018
POLERA, CATHERINE BEATRICE Subordinate Osteopathic Physician 11336 4/1/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/22/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.