| NPI | 1649256348 |
|---|---|
| Doing Business As | EMERALD COAST PODIATRY & WOUND CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT DAVID SIWICKI CEO 850-862-4119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL P01110 & P02964) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2007-11-30 |