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Contact Information

TIMOTHY C. RUNYON, D.P.M. P.A.
1401 16TH ST N
SAINT PETERSBURG, FL33704-4123
 Phone: 727-894-0794
 Fax: 727-895-1215
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
 

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Radiology

213ER0200X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TIMOTHY C. RUNYON, D.P.M. P.A.

NPI Number 1093869851
LBN Legal business name TIMOTHY C. RUNYON, D.P.M. P.A.
Authorized official KYLE KINMON - (PROVIDER/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2007
Last updated 10/09/2024 - More than a year ago
Identifiers
FL License # PO1101
FL Medicaid 340415300
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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