Individual
DR. KEITH ROBERTS RUNYAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3305 W MARITANA DR, ST PETE BEACH, FL 33706
(813) 502-0529
Mailing address
3305 W MARITANA DR, ST PETE BEACH, FL 33706
(813) 502-0529
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME62416
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262962300
—
FL
01
—
ME62416
STATE LICENSE NUMBER
FL
Enumeration date
12/13/2005
Last updated
07/09/2018
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