MEDICARE: LAURIN MEAD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0200X	Critical Care Medicine Registered Nurse	9486983	FL
2	363LF0000X	Family Nurse Practitioner	11045373	FL

General Provider Information

NPI Number	:	1174492284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIN MEAD

Provider Business Mailing Address
First Line	:	7417 NORTHPOINTE BLVD
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32514-6628
Country	:	US
Telephone Number	:	954-319-6258
Fax Number	:

Provider Business Practice Location Address
First Line	:	8383 N DAVIS HWY
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32514-6039
Country	:	US
Telephone Number	:	850-494-4463
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2025
Last Update Date	:	02/06/2026

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Directions to “ LAURIN MEAD ” Practice Location

Language	Start Address	Practice Location

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