Provider Demographics
NPI:1861714651
Name:BROZOVICH, LINDA D (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:D
Last Name:BROZOVICH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2886 ALTERNATE US 19
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683
Mailing Address - Country:US
Mailing Address - Phone:727-781-7204
Mailing Address - Fax:727-781-7481
Practice Address - Street 1:2886 ALTERNATE US 19
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683
Practice Address - Country:US
Practice Address - Phone:727-781-7204
Practice Address - Fax:727-781-7481
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS34812183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist