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

Ft Walton Beach Internal Medicine LLC

Organization Internal Medicine Physician · NPI 1912928896

Ft Walton Beach Internal Medicine LLC is an Internal Medicine Physician in Fort Walton Beach, 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

1032 Mar Walt Dr Ste 230
Fort Walton Beach, FL 32547-6645
Phone: (850) 862-0318
Fax: (850) 862-2887
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1912928896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mickey Pickler — Vp · (850) 523-2117
NPI enumeratedJuly 23, 2006
Last updated in NPPESJune 23, 2008
Mailing address1032 Mar Walt Dr, Suite 230, Fort Walton Beach, FL 32547-6645

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