Robert D. Siwicki,D.P.M.,P.A. in Fort Walton Beach - Podiatrist
Robert D. Siwicki,D.P.M.,P.A. - NPI 1649256348
Robert D. Siwicki,D.P.M.,P.A. is a Podiatrist in Fort Walton Beach, Florida. Robert D. Siwicki,D.P.M.,P.A. practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Robert D. Siwicki,D.P.M.,P.A. is 1649256348. The last update date is 2007-11-30.
Robert D. Siwicki,D.P.M.,P.A.'s current location address is 914a Mar Walt Dr, Fort Walton Beach, Florida. You can contact this provider via phone number 8508624119 and fax number 8508625470. The mailing address for Robert D. Siwicki,D.P.M.,P.A. is 914a Mar Walt Dr, Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Robert D. Siwicki,D.P.M.,P.A. |
|---|---|
| Address | 914a Mar Walt Dr, Fort Walton Beach, Florida |
| Phone Number | 8508624119 |
| Fax Number | 8508625470 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Siwicki David Robert |
| Credentials | D.P.M. |
| Telephone Number | 8508624119 |
NPI Number Detail
| NPI Number | 1649256348 |
|---|---|
| Provider Enumeration Date | 2005-12-15 |
| Last Updated Date | 2007-11-30 |
Provider Mailing Address Detail
| Address | 914a Mar Walt Dr |
|---|---|
| City | Fort Walton Beach |
| State | Florida (FL) |
| Post Code | 325476706 |
| Phone Number | 8508624119 |
| Fax Number | 8508625470 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | P01110 & P |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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What is the unique 10-digit identifier code assigned to Robert D. Siwicki,D.P.M.,P.A. by the Centers for Medicare & Medicaid Services?
The Robert D. Siwicki,D.P.M.,P.A. has been issued the NPI (National Provider Identifier) 1649256348 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Robert D. Siwicki,D.P.M.,P.A.?
The Robert D. Siwicki,D.P.M.,P.A. is situated at 914A Mar Walt Dr, in the city of Fort Walton Beach, state of FL, with the zip code 325476706.
What is Robert D. Siwicki,D.P.M.,P.A.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert D. Siwicki,D.P.M.,P.A.'s area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did the Robert D. Siwicki,D.P.M.,P.A. receive its 1649256348 assignment from the Centers for Medicare & Medicaid Services?
The Robert D. Siwicki,D.P.M.,P.A. was assigned its 1649256348 by the Centers for Medicare & Medicaid Services on 2005-12-15.
When was the information regarding Robert D. Siwicki,D.P.M.,P.A. most recently updated?
The details pertaining to the Robert D. Siwicki,D.P.M.,P.A., including its address, specialty, and other relevant information, were last refreshed on 2007-11-30.