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LAURA ELIZABETH BROADHEAD PHARM.D.
NPI 1962824789
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Walton Beach, FL

Active since January 14, 2014
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 863-7572(850) 315-0523 Get Directions Write a Review

NPPES record last updated: January 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laura Elizabeth Broadhead Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA ELIZABETH BROADHEAD PHARM.D. (NPI 1962824789) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Fort Walton Beach, Florida, licensed in Florida (PS51121) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1962824789
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameLAURA ELIZABETH BROADHEADCredential: PHARM.D.
Location Address1000 MAR WALT DRFort Walton Beach, FL 32547-6708
Mailing Address1000 Mar Walt DrFort Walton Beach, FL 32547-6708 · (850) 863-7572 · Fax (850) 315-0523
Phone(850) 863-7572
Fax(850) 315-0523
Sole ProprietorYes
Enumeration DateJanuary 14, 2014
✔ NPI 1962824789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in FL · PS51121
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
1000 MAR WALT DR, Fort Walton Beach, FL 32547
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANNA RUTH ANDERSON
Dietitian, Registered
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111
DR. JESSICA AMANDA RAMBHAROSE MD
Student in an Organized Health Care Education/Training Program
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 969-4500
MRS. ANDREA M PERSON PA
Physician Assistant
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111
ANESTHESIA PHYSICIAN SOLUTIONS OF NORTH FLORIDA, LLC
Anesthesiology
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (954) 939-5000
BRITTANY NICOLE GRIMES FNP-C
Nurse Practitioner
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8100
DR. MICHAEL C WILLIAMS MD
Emergency Medicine
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-7607
DEVON N JERNIGAN PT, DPT
Physical Therapist
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111
FORT WALTON BEACH MEDICAL CENTER, INC.
Rehabilitation Unit
1000 MAR WALT DR
FT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Broadhead's NPI number?

The NPI number for Laura Broadhead is 1962824789. It was assigned to this individual provider in the NPPES registry on January 14, 2014.

Where is Laura Broadhead located?

Laura Broadhead practices at 1000 Mar Walt Dr, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-7572.

What is Laura Broadhead's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Laura Broadhead was last updated on January 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.