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NICEVILLE GENERAL SURGERY LLC NPI 1316017775


NPI Information

NPI: 1316017775
Provider Name: NICEVILLE GENERAL SURGERY LLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1001 COLLEGE BLVD W
SUITE B-1
NICEVILLE, FL
ZIP 32578
Phone: (850) 678-1154
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NICEVILLE GENERAL SURGERY LLC is a surgery in Niceville, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NICEVILLE GENERAL SURGERY LLC NPI is 1316017775. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 COLLEGE BLVD W
SUITE B-1
NICEVILLE, FL
ZIP 32578-099
Phone: (850) 678-1154
Fax: (850) 678-1458

The provider's authorized official is Mickey Pickler .
The authorized official title is Vp and has the following contact phone number (850) 678-1154.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 10/1/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AD045MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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