NPI | 1265472211 |
---|---|
Doing Business As | EMERALD COAST PODIATRY & WOUND CARE CENTER |
Entity Type | Organization |
Authorized Contact | COSIMO A RICCIARDI CEO 850-862-4119 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO1110 & PO2964) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2019-03-26 |