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Organization
KEITH RUNYAN, MD
Active
Organization
KEITH RUNYAN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH RUNYAN M.D. (OWNER)
(727) 345-3908
Entity
Organization
Contact information
Practice address
6499 38TH AVE N, SUITE C-1, ST PETERSBURG, FL 33710-1656
(727) 345-3908
Mailing address
3305 W MARITANA DR, ST PETE BEACH, FL 33706-4043
(727) 368-6479
(727) 345-3909
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME62416
FL
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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