| Emerald Coast Podiatry & Wound Care Center | |
|
341 A Racetrack Rd Nw, Fort Walton Beach, FL 32547 | |
| (850) 862-4119 | |
| Not Available |
| Full Name | Emerald Coast Podiatry & Wound Care Center |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 341 A Racetrack Rd Nw, Fort Walton Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265472211 | NPI | - | NPPES |
| 340598200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | PO1110 & PO2964 (Florida) | Primary |
| Provider Name | Cosimo A Ricciardi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295711968 PECOS PAC ID: 9436154929 Enrollment ID: I20060915000061 |
| Provider Name | Neil Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760936827 PECOS PAC ID: 7911232954 Enrollment ID: I20190712000319 |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Coast Podiatry & Wound Care Center 914a Mar Walt Dr, Fort Walton Beach, FL 32547-6706 Ph: (850) 862-4119 | Emerald Coast Podiatry & Wound Care Center 341 A Racetrack Rd Nw, Fort Walton Beach, FL 32547 Ph: (850) 862-4119 |
Dr. Cosimo A Ricciardi, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 914a Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-4119 Fax: 850-862-5470 | |
Paul J Kalin, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1013 Mar Walt Dr, Suite A, Fort Walton Beach, FL 32547 Phone: 850-863-1238 | |
Paul J Kalin Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1013 Mar Walt Dr, Suite A, Fort Walton Beach, FL 32547 Phone: 850-863-1238 Fax: 850-864-3338 | |
Dr. Thomas Arthur Fusco, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547 Phone: 850-863-2153 Fax: 850-863-8085 | |
White Sands Podiatry Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1032 Mar Walt Dr Unit 250, Fort Walton Beach, FL 32547 Phone: 506-221-6078 Fax: 888-302-6552 | |
Joseph R Agostinelli Dpm Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547 Phone: 850-863-2153 Fax: 850-315-9350 |