Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ft Walton Beach Internal Medicine LLC

Internal Medicine Physician in Fort Walton Beach, FL · enumerated 2006 · authorized official Mickey Pickler, Vp.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912928896

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Registry record

Entity type Organization (Type 2)

Legal business name Ft Walton Beach Internal Medicine LLC

Practice address 1032 Mar Walt Dr, Suite 230, Fort Walton Beach, FL, 32547

Phone (850) 862-0318

Fax (850) 862-2887

Enumeration date Jul 23, 2006

Last updated in NPPES Jun 23, 2008

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mickey Pickler

Title Vp

Phone (850) 523-2117

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Ft Walton Beach Internal Medicine LLC located?

The practice location on file with NPPES is in Fort Walton Beach, FL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-23. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-23.