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SOUTHERN BREEZE HEALTHCARE
NPI 1376028563
Family Medicine in Niceville, FL

Active since October 03, 2018
4556 E HWY 20, SUITE 105, NICEVILLE, FL 32578(910) 988-1326 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2021, Oct 3, 2018 (2 updates tracked since 2018).

About Southern Breeze Healthcare NPPES

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

SOUTHERN BREEZE HEALTHCARE (NPI 1376028563) is a healthcare organization registered as a family medicine in Niceville, Florida and active in the NPI registry since October 2018. The organization lists Gary Bullard, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1376028563
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHERN BREEZE HEALTHCARE
Location Address4556 E HWY 20, SUITE 105Niceville, FL 32578
Mailing Address4556 E Hwy 20, Suite 105Niceville, FL 32578 · (910) 988-1326
Phone(910) 988-1326
Organization SubpartNo
Authorized OfficialGary BullardPhysician Assistant · (910) 988-1326
Enumeration DateOctober 3, 2018
Last NPPES UpdateJanuary 5, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
✔ NPI 1376028563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4556 E HWY 20, Niceville, FL 32578
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Breeze Healthcare's NPI number?

The NPI number for Southern Breeze Healthcare is 1376028563. It was assigned to this organization in the NPPES registry on October 3, 2018.

Where is Southern Breeze Healthcare located?

Southern Breeze Healthcare is located at 4556 E Hwy 20 Suite 105, Niceville, FL 32578. The listed phone number is (910) 988-1326.

What is Southern Breeze Healthcare's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Southern Breeze Healthcare was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.