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
120 E REDSTONE AVE STE A, CRESTVIEW, FL 32539-5370
(850) 682-6522
Mailing address
914A MAR WALT DR, FORT WALTON BEACH, FL 32547-6706
(850) 862-4119
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P01110 & P02964
FL
Other
Enumeration date
01/10/2008
Last updated
03/26/2019
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