Individual
DR. MICHAEL JOHN HOMERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2627 W EAU GALLIE BLVD STE 101, MELBOURNE, FL 32935-8303
(321) 837-3820
Mailing address
2627 W EAU GALLIE BLVD STE 101, MELBOURNE, FL 32935-8303
(321) 837-3820
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
08/05/2026
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