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Organization
SIWICKI & RICCIARDI PL
Active
Organization
SIWICKI & RICCIARDI PL
Active
Other names
EMERALD COAST PODIATRY
Organization subpart
No
Provider details
NPI number
Authorized official
RICCIARDI A RICCIARDI D.P.M. (OWNER)
(850) 682-6522
Entity
Organization
Contact information
Practice address
849 S THREE NOTCH ST, ANDALUSIA, AL 36420-5325
(850) 682-6522
Mailing address
120 E REDSTONE AVE, CRESTVIEW, FL 32539-5370
(850) 682-6522
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
09/07/2016
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