Ft. Walton Beach General Surgery LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

FT. WALTON BEACH GENERAL SURGERY LLC

Practice address

1775 Lewis Turner Blvd
#102
Ft Walton Beach, FL 32547-1221

Phone

(850) 864-3232

NPI assigned

Jun 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mickey Pickler

Title

VP

Phone

(850) 864-3232

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mauri G Lunderman, MD

  • Surgery Physician
  • Ft Walton Beach, FL
  • NPI 1033103825
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1194769950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 LEWIS TURNER BLVD",
            "address_2": "#102",
            "city": "FT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471221",
            "telephone_number": "850-864-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 LEWIS TURNER BLVD",
            "address_2": "#102",
            "city": "FT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471221",
            "telephone_number": "850-864-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT. WALTON BEACH GENERAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "PICKLER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "850-864-3232"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin Frisbee, D.C.
• Matthew McAdam Frisbee, D.C.
• Ft Walton Beach Internal Medicine LLC
• Ft Walton Open MRI LLC
• Ft. Walton Beach Anesthesia Services LLC
• Jacob Fuller
• Madeline Victoria Fullmer
• Denise Furlong, COTA
• Carol Furr
• Thomas Arthur Fusco, D.P.M.

• Surgery Physician in Ft Walton Beach, FL
• Providers in Ft Walton Beach, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.