Dr. Brad Michael Homan
Sports Medicine Orthopaedic Surgeon
410 Celebration Place Suite 106
Celebration
, Florida 34747
Dr. Brad Michael Homan
Sports Medicine Orthopaedic Surgeon
410 Celebration Place Suite 106
Celebration
, Florida 34747
(321) 939-0225
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Brad Michael Homan
- 410 Celebration Place Suite 106
- Celebration, FL
- Zip : 34747
- Fax : (321) 939-0225
- Phone : (321) 939-0222
Second Address
- Dr. Brad Michael Homan
- 410 Celebration Place Suite 106
- Celebration, FL
- Zip : 34747
- Fax : (321) 939-0225
- Phone : (321) 939-0222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | OS9093 | FL |
National Provider Identifier
| NPI | 1144254210 |
|---|---|
| Provider Name | Dr. Brad Michael Homan |
| First Address | Celebration, FL 34747 |
| Second Address | Celebration, FL 34747 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 03/05/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I19629 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.