Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keely Michelle Broz, NP

Individual provider Nurse Practitioner · NPI 1225859267

Keely Michelle Broz, NP is a Nurse Practitioner in Fort Walton Beach, Florida. Qualified in 2024, 2 years ago. Practices with Professional Service Fund of Deborah Heart and Lung Center, a 118-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and New Jersey.

Years since qualifying
2
Licensed in
FL, NJ
In the registry since
2024
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

320 Racetrack Rd NW Ste 100D
Fort Walton Beach, FL 32547-1796
Phone: (448) 202-6100
Fax: (448) 202-6101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 — (850) 862-1111

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11046730 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 26NJ15184000 (NJ)

Record details

NPI number1225859267
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 22, 2024
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Professional Service Fund Of Deborah Heart And Lung Center — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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