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

Bluewater Bay Urology LLC

Organization Urology Physician · NPI 1992740229

Bluewater Bay Urology LLC is an Urology Physician in Niceville, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4566 E Highway 20 Ste 102
Niceville, FL 32578-8838
Phone: (850) 897-6005
Fax: (850) 897-6003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1992740229
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mickey Pickler — Vice President · (850) 523-2117
NPI enumeratedJune 19, 2006
Last updated in NPPESJanuary 10, 2008
Mailing address4566 E Highway 20, Suite 102, Niceville, FL 32578-8838

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