Healthcare Provider Details

I. General information

NPI: 1174492284
Provider Name (Legal Business Name): LAURIN MEAD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8383 N DAVIS HWY
PENSACOLA FL
32514-6039
US

IV. Provider business mailing address

7417 NORTHPOINTE BLVD
PENSACOLA FL
32514-6628
US

V. Phone/Fax

Practice location:
  • Phone: 850-494-4463
  • Fax:
Mailing address:
  • Phone: 954-319-6258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11045373
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number9486983
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: