Timothy C. Runyon, D.P.M. P.A.
Non-Pharmacy Dispensing Site in Brandon, FL. Organization (NPI-2).
NPI number1437745015
StatusActive
Last updated in NPPESOct 9, 2024
Details
- NPI
- 1437745015
- Entity type
- Organization (NPI-2)
- Legal business name
- Timothy C. Runyon, D.P.M. P.A.
- Organization subpart
- No
- Enumeration date
- Dec 17, 2020
- Certification date
- Oct 9, 2024
- Last updated
- Oct 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | – | Yes |
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | – | – |
Other names
- Certified Foot And Ankle Specialists (Doing Business As)
Practice location
669a W Lumsden RdBrandon, FL 33511-5911
Phone 813-654-3354 · Fax 813-653-9177
Mailing address
1401 16th St NSt Petersburg, FL 33704-4123
Phone 727-894-0794 · Fax 727-895-1215
Authorized official
Kyle J Kinmon
Owner
5619950229
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All 5 Non-Pharmacy Dispensing Site providers in Brandon · All 4,834 providers in Brandon
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