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

Niceville General Surgery LLC

Organization Surgery Physician · NPI 1316017775

Niceville General Surgery LLC is a Surgery 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

1001 College Blvd W Ste B-1
Niceville, FL 32578-1099
Phone: (850) 678-1154
Fax: (850) 678-1458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1316017775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mickey Pickler — Vp · (850) 678-1154
NPI enumeratedNovember 9, 2006
Last updated in NPPESOctober 1, 2007
Mailing address1001 College Blvd W, Suite B-1, Niceville, FL 32578-1099

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