# ERIC RUNYON, D.O., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RDBO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801241658
- **Authorized official:** MRS. CLAUDIA KNICKERBOKER (ADMINISTRATOR)
- **Authorized official phone:** (786) 615-6123

## Contact information

- **Practice address:** 11760 SW 40TH ST, SUITE 654, MIAMI, FL 33175-3582
- **Practice address phone:** (786) 615-6123
- **Practice address fax:** (786) 615-6103
- **Mailing address:** 11760 SW 40TH ST, SUITE 654, MIAMI, FL 33175-3582
- **Mailing address phone:** (786) 615-6123
- **Mailing address fax:** (786) 615-6103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | OS4300 | FL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | OS8317 | FL | — |

## Other

- **Enumeration date:** 04/29/2016
- **Last updated:** 04/29/2016