Organization
TIMOTHY C. RUNYON, DPM, PA
Active
Other names
Certified Foot & Ankle Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE J KINMON (PRESIDENT)
(561) 995-0229
Entity
Organization
Contact information
Practice address
2595 TAMPA RD STE O, PALM HARBOR, FL 34684-3131
(727) 785-5611
Mailing address
1401 16TH ST N, ST PETERSBURG, FL 33704-4123
(727) 894-0794
(727) 895-1215
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
10/09/2024
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