1. Home
  2. Directory
  3. Florida
  4. Fort Walton Beach
  5. Obstetrics Gynecology
  6. NPI Profile

NORTHWEST FLORIDA WOMENS CANCER CARE LLC
NPI 1710172416
Obstetrics & Gynecology in Fort Walton Beach, FL

Active since September 06, 2007
1032 MAR WALT DR, SUITE 250, FORT WALTON BEACH, FL 32547(850) 862-2021 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northwest Florida Womens Cancer Care Llc NPPES

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

NORTHWEST FLORIDA WOMENS CANCER CARE LLC (NPI 1710172416) is a healthcare organization registered as an obstetrics & gynecology in Fort Walton Beach, Florida and active in the NPI registry since September 2007. The organization lists Mickey Pickler, Vp, as its authorized official.

NPPES Registry Identity

NPI1710172416
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameNORTHWEST FLORIDA WOMENS CANCER CARE LLC
Location Address1032 MAR WALT DR, SUITE 250Fort Walton Beach, FL 32547-6661
Mailing Address1032 Mar Walt Dr, Suite 250Fort Walton Beach, FL 32547-6661 · (850) 862-2021
Phone(850) 862-2021
Organization SubpartNo
Authorized OfficialMickey PicklerVp · (850) 862-2021
Enumeration DateSeptember 6, 2007
Last NPPES UpdateJune 11, 2008
✔ NPI 1710172416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1032 MAR WALT DR, Fort Walton Beach, FL 32547
Open in Google Maps ↗

Other Identifiers 1

Medicare PINDH0756FL

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 15

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

NIKKOLE NUNEZ TOWN
Nurse Practitioner (Family)
1032 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8260
ERIC L SANDWITH MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1032 MAR WALT DR, SUITE 230
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-3194
BARNETT FACIAL PLASTIC & RECONSTRUCTIVE SURGERY, PA.
Otolaryngology (Plastic Surgery within the Head & Neck)
1032 MAR WALT DR, SUITE 100
FORT WALTON BEACH, FL 32547
Okaloosa County (504) 914-7696
WHITE SANDS PODIATRY LLC
Podiatrist (Foot & Ankle Surgery)
1032 MAR WALT DR, STE 100
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 622-1607
EMERALD COAST EAR, NOSE, THROAT & ALLERGIES, P.A.
Health Maintenance Organization
1032 MAR WALT DR, SUITE 100
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 796-1368
TIMOTHY M BRADLEY,MD SC
Plastic Surgery
1032 MAR WALT DR, SUITE 240
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 533-0865
BEACH ORTHOPAEDIC & SPORTS MEDICINE CLINIC, PA
Orthopaedic Surgery
1032 MAR WALT DR, SUITE 210
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 664-5633
JOSEPH DANIEL SIEFKER M.D.
Otolaryngology (Otolaryngic Allergy)
1032 MAR WALT DR, SUITE 100
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 796-1368

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 Northwest Florida Womens Cancer Care LLC's NPI number?

The NPI number for Northwest Florida Womens Cancer Care LLC is 1710172416. It was assigned to this organization in the NPPES registry on September 6, 2007.

Where is Northwest Florida Womens Cancer Care LLC located?

Northwest Florida Womens Cancer Care LLC is located at 1032 Mar Walt Dr Suite 250, Fort Walton Beach, FL 32547. The listed phone number is (850) 862-2021.

What is Northwest Florida Womens Cancer Care LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Northwest Florida Womens Cancer Care LLC was last updated on June 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.