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

Niceville Primary Care Bluewater

Organization Family Medicine Physician · NPI 1457446387

Niceville Primary Care Bluewater provides Family Medicine Physician services in Niceville, Florida. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4400 E Highway 20 Ste 203
Niceville, FL 32578-8779 Not confirmed with CMS for 19 years — call before visiting
Phone: (850) 897-3678
Fax: (850) 897-3708
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1457446387
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mickey Pickler — Vp · (850) 523-2117
NPI enumeratedOctober 4, 2006
Last updated in NPPESSeptember 28, 2007
Mailing address4400 E Highway 20, Suite 203, Niceville, FL 32578-8779

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