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Contact Information

SIWICKI & RICCIARDI,P.L.
341 A RACETRACK RD NW
FORT WALTON BEACH, FL32547
 Phone: 850-862-4119
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SIWICKI RICCIARDIPL · (Female)

NPI # 1265472211
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2006
Last updated 05/05/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # PO1110 & PO2964
  • FL Medicaid 340598200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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