Individual provider · Type 1 NPI
Keely Michelle Broz, NP
Nurse Practitioner · Fort Walton Beach, FL
Practice location
320 Racetrack Rd NW Ste 100D
Fort Walton Beach, FL 32547-1796
Fax (448) 202-6101
Mailing address
9643 Bone Bluff Dr
Navarre, FL 32566-2551
Other practice locations
- 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 · (850) 862-1111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11046730 (FL) |
| Nurse Practitioner | 363L00000X | 26NJ15184000 (NJ) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1225859267
Keely Michelle Broz, NP's National Provider Identifier is 1225859267, issued on Oct 22, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Jun 22, 2026.