Individual
JONATHAN B RUNION
Active
Individual
JONATHAN B RUNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 9101816
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292925200
—
FL
01
—
Y05FT
BCBS
FL
Enumeration date
10/29/2007
Last updated
09/21/2010
Update your record
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