FT. WALTON BEACH GENERAL SURGERY LLC
NPI 1194769950
Surgery in Ft Walton Beach, FL

Active since June 15, 2006
1775 LEWIS TURNER BLVD, #102, FT WALTON BEACH, FL 32547(850) 864-3232 Get Directions Write a Review

NPPES record last updated: September 11, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ft. Walton Beach General Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FT. WALTON BEACH GENERAL SURGERY LLC (NPI 1194769950) is a healthcare organization registered as a surgery in Ft Walton Beach, Florida and active in the NPI registry since June 2006. The organization lists Mickey Pickler, Vp, as its authorized official.

NPPES Registry Identity

NPI1194769950
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameFT. WALTON BEACH GENERAL SURGERY LLC
Location Address1775 LEWIS TURNER BLVD, #102Ft Walton Beach, FL 32547-1221
Mailing Address1775 Lewis Turner Blvd, #102Ft Walton Beach, FL 32547-1221 · (850) 864-3232
Organization SubpartNo
Authorized OfficialMickey PicklerVp · (850) 864-3232
Enumeration DateJune 15, 2006
Last NPPES UpdateSeptember 11, 2007
NPI 1194769950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1775 LEWIS TURNER BLVD, Ft Walton Beach, FL 32547

Other Identifiers 2

Medicare ID-Type UnspecifiedDD8316FL · Rr Medicare
Medicare ID-Type UnspecifiedK7184FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1775 LEWIS TURNER BLVD, SUITE 102
FT WALTON BEACH, FL 32547
Surgery
1775 LEWIS TURNER BLVD, SUITE 102
FORT WALTON BEACH, FL 32547
Speech-Language Pathologist
1775 LEWIS TURNER BLVD, SUITE 101
FORT WALTON BEACH, FL 32547
Speech-Language Pathologist
1775 LEWIS TURNER BLVD, SUITE 101
FORT WALTON BEACH, FL 32547
Surgery
1775 LEWIS TURNER BLVD, SUITE 101
FORT WALTON BEACH, FL 32547

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194769950, enumerated as an "organization" on June 15, 2006.

The provider is located at 1775 LEWIS TURNER BLVD #102 FT WALTON BEACH, FL 32547 and the phone number is (850) 864-3232.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.