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Timothy C. Runyon, D.p.m. P.a.
Customized Equipment (DME) in St. Petersburg, Florida
NPI 1093869851

Timothy C. Runyon, D.p.m. P.a. is a Customized Equipment (DME) based in St. Petersburg, FL and is specialized in Customized Equipment. Timothy C. Runyon, D.p.m. P.a. practices in St. Petersburg, FL. The NPI Number for Timothy C. Runyon, D.p.m. P.a. is 1093869851 and holds a License No. PO1101 (Florida).

The current practice location address for Timothy C. Runyon, D.p.m. P.a. is 1401 16Th St N, St. Petersburg, FL and can be reached out via phone at 727-894-0794 and via fax at 727-895-1215.

Location: 1401 16Th St N, St. Petersburg, FL, 33704-4123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093869851
Provider Name
Timothy C. Runyon, D.p.m. P.a.
Credential
Provider Entity Type
Organization
Address
1401 16Th St N, St. Petersburg, FL, 33704-4123
Phone Number
727-894-0794
Fax Number
727-895-1215
Provider Enumeration Date
01/22/2007
Last Update Date
10/19/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
340415300 05 FL
institution
Provider Business Practice Location Address Details
Address
1401 16Th St N
City
St. Petersburg
State
Florida
Zip
33704-4123
Phone Number
727-894-0794
Fax Number
727-895-1215
person
Provider Business Mailing Address Details
Address
1401 16Th St N
City
St. Petersburg
State
Florida
Zip
33704-4123
Phone Number
727-894-0794
Fax Number
727-895-1215
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
213ER0200X
License No.
PO1101 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
PO1101 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
PO1101 (Florida)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PO1101 (Florida)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
PO1101 (Florida)
Definition
Definition to come...
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