Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Okaloosa Surgical Associates, PA

Organization Surgery Physician · NPI 1194810762

Okaloosa Surgical Associates, PA provides Surgery Physician services 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 Not confirmed with CMS for 16 years — call before visiting
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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