Individual
DR. MICHAEL JOHN HOMERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4230 STONEY POINT RD, MELBOURNE, FL 32940-1476
(516) 330-8889
Mailing address
4230 STONEY POINT RD, MELBOURNE, FL 32940-1476
(516) 330-8889
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME119113
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2011
Last updated
04/21/2016
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