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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 & RICCIARDI,P.L.

NPI # 1265472211
LBN Legal business name SIWICKI & RICCIARDI,P.L.
Authorized official COSIMO RICCIARDI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2006
Last updated 05/05/2025 - More than a year ago
Identifiers
FL License # PO1110 & PO2964
FL Medicaid 340598200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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