| Niceville Primary Care Bluewater | |
|
4400 E Highway 20 Suite 203 Niceville FL 32578-8779 | |
| (850) 897-3678 | |
| (850) 897-3708 |
| Full Name | Niceville Primary Care Bluewater |
|---|---|
| Speciality | Family Medicine |
| Location | 4400 E Highway 20, Niceville, Florida |
| Authorized Official Name and Position | Mickey Pickler (VP) |
| Authorized Official Contact | 8505232117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Niceville Primary Care Bluewater 4400 E Highway 20 Suite 203 Niceville FL 32578-8779 Ph: (850) 897-3678 | Niceville Primary Care Bluewater 4400 E Highway 20 Suite 203 Niceville FL 32578-8779 Ph: (850) 897-3678 |
| NPI Number | 1457446387 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 09/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457446387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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