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

Okaloosa Surgical Associates, PA

Organization Surgery Physician · NPI 1194810762

Okaloosa Surgical Associates, PA is a Surgery Physician in Niceville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

550 Twin Cities Blvd Ste C
Niceville, FL 32578
Phone: (850) 678-6601
Fax: (850) 678-0842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME0055821 (FL)
Surgery Physician Taxonomy 208600000X

Record details

NPI number1194810762
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Haney — Physician · (850) 678-6601
NPI enumeratedOctober 3, 2006
Last updated in NPPESSeptember 16, 2010
Mailing address550 Twin Cities Blvd, Suite C, Niceville, FL 32578

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