Mr Homer Roosevelt Brown, is a
Counselor - Mental Health based in Rockledge, Florida. Mr Homer Roosevelt Brown is licensed to practice in Florida (license number MH12133) and his current practice location is
992 Demaret Drive, Rockledge, Florida. He can be reached at his office (for appointments etc.) via phone at
(321) 698-8822.
NPI number for Mr Homer Roosevelt Brown is 1174785067 and his current mailing address is 992 Demaret Drive, Rockledge, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174785067.
Provider's Profile
| Full Name | Mr Homer Roosevelt Brown |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 992 Demaret Drive, Rockledge, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174785067
- Provider Enumeration Date: 07/01/2008
- Last Update Date: 11/16/2013
Medical Identifiers
Medical identifiers for Mr Homer Roosevelt Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174785067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | PN1258341 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH12133 (Florida) | Primary |
| 101YS0200X | Counselor - School | 1033055 (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Homer Roosevelt Brown is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Homer Roosevelt Brown,
992 Demaret Drive,
Rockledge, FL 32955-2333
Ph: (321) 632-3427 | Mr Homer Roosevelt Brown,
992 Demaret Drive,
Rockledge, FL 32955-2333
Ph: (321) 698-8822 |
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