MEDICARE: DR. COSIMO A RICCIARDI D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	PO2964	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CN7984	OTHER	FL	RAILROAD MEDICARE PALMETTO GBA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295711968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COSIMO A RICCIARDI D.P.M.

Provider Business Mailing Address
First Line	:	120 E REDSTONE AVE STE A
Second Line	:
City	:	CRESTVIEW
State	:	FL
Zip	:	32539-5370
Country	:	US
Telephone Number	:	850-862-4119
Fax Number	:	850-862-5470

Provider Business Practice Location Address
First Line	:	341A RACETRACK RD NW STE A
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-1552
Country	:	US
Telephone Number	:	850-862-4119
Fax Number	:	850-862-5470

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	05/05/2025

Similar Medicare Providers

1326584194 — HUGHSTON CLINIC PC
Practice Location Address:

341 RACETRACK RD NW , STE B
FORT WALTON BEACH, FL
32547-1552

Practice Phone: 850-659-7502
Practice Fax: 850-864-4076

1598286684 — HUGHSTON CLINIC SOUTHEAST PC
Practice Location Address:

341 RACETRACK RD NW STE C
FORT WALTON BEACH, FL
32547-1552

Practice Phone: 850-226-8112
Practice Fax: 850-362-6068

1376064469 — HUGHSTON ORTHOPAEDIC SOUTHEAST PC
Practice Location Address:

341 RACETRACK RD NW STE B
FORT WALTON BEACH, FL
32547-1552

Practice Phone: 850-226-8112
Practice Fax: 850-362-6068

1568630507 — BRANDI LEE SMITHSON MS, OTR/L
Practice Location Address:

2401 NE 65TH ST , APT 102
FORT LAUDERDALE, FL
33308-1552

Practice Phone: 954-459-5644
Practice Fax:

1689923203 — BELLVIEW1CLA
Practice Location Address:

1552 FORT MORRIS RD
MIDWAY, GA
31320-6213

Practice Phone: 912-884-6899
Practice Fax: 912-884-6898

1437802279 — FALOCARE NETWORK
Practice Location Address:

1552 NE 4TH AVE
FORT LAUDERDALE, FL
33304

Practice Phone: 954-467-8855
Practice Fax:

Directions to “ DR. COSIMO A RICCIARDI D.P.M.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.