SIWICKI & RICCIARDIP.L. NPI 1790961514

NPI Information

  • NPI: 1790961514
  • Provider Name: SIWICKI & RICCIARDI,P.L.
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Doing Business As: EMERALD COAST PODIATRY & WOUND CARE CENTER
  • Address: 120 E REDSTONE AVE STE A
    CRESTVIEW, FL
    ZIP 32539
  • Phone: (850) 682-6522

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NPI Details

SIWICKI & RICCIARDI,P.L. is a podiatrist in Crestview, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. SIWICKI & RICCIARDI,P.L. NPI is 1790961514. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Emerald Coast Podiatry & Wound Care Center.

The provider's business location address is:

120 E REDSTONE AVE STE A
CRESTVIEW, FL
ZIP 32539-370
Phone: (850) 682-6522

The provider's authorized official is Cosimo A Ricciardi .
The authorized official title is Ceo and has the following contact phone number (850) 862-4119.

The enumeration date for this NPI number is 1/10/2008 and was last updated on 3/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristP01110 & P02964FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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