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Contact Information

TIMOTHY C RUNYON, DPM
1401 16TH ST N
SAINT PETERSBURG, FL33704-4123
 Phone: 727-894-0794
 Fax: 727-895-1215
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TIMOTHY C RUNYON · (Male)

NPI # 1881657740
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/10/2006
Last updated 02/23/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # FP1101
  • FL License # PO1101
  • FL Medicaid 041079900
  • FL Other 0854680001 DMERC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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