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Dr. Timothy C Runyon, DPM
Foot & Ankle Surgery Podiatrist in St Petersburg, Florida
NPI 1881657740

Timothy C Runyon is a Foot & Ankle Surgery Podiatrist based in St Petersburg, FL and is specialized in Foot & Ankle Surgery. Timothy C Runyon practices in St Petersburg, FL and has the professional credentials of DPM. The NPI Number for Timothy C Runyon is 1881657740 and holds a License No. FP1101 (Florida).

The current practice location address for Timothy C Runyon 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
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Provider Profile Details
NPI Number
1881657740
Provider Name
Timothy C Runyon
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1401 16Th St N, St Petersburg, FL, 33704-4123
Phone Number
727-894-0794
Fax Number
727-895-1215
Provider Enumeration Date
04/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0854680001 01 FL DMERC
041079900 05 FL
institution
Provider Business Practice Location Address Details
Address
1401 16Th St N
City
State
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
State
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
Primary Podiatric Medicine
Taxonomy
License No.
PO1101 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
License No.
PO1101 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
PO1101 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
PO1101 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
FP1101 (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.
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