Organization
SIWICKI & RICCIARDI,P.L.
Active
Other names
Emerald Coast Podiatry & Wound Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COSIMO A RICCIARDI D.P.M. (CEO)
(850) 862-4119
Entity
Organization
Contact information
Practice address
341 A RACETRACK RD NW, FORT WALTON BEACH, FL 32547
(850) 862-4119
Mailing address
341 RACETRACK RD NW STE A, FORT WALTON BEACH, FL 32547-1788
(850) 862-4119
(850) 862-5470
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1110 & PO2964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340598200
—
FL
Enumeration date
06/07/2006
Last updated
05/05/2025
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