Organization
TIMOTHY C. RUNYON, D.P.M. P.A.
Active
Parent organization
TIMOTHY C. RUNYON, D.P.M. P.A.
Other names
Certified Foot and Ankle Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIMOTHY C. RUNYON, D.P.M. P.A.
Authorized official
KYLE J KINMON DPM (PRESIDENT)
(561) 995-0229
Entity
Organization
Contact information
Practice address
12681 NEW BRITTANY BLVD # 1E, FORT MYERS, FL 33907-3631
(239) 689-3843
(239) 689-3852
Mailing address
12681 NEW BRITTANY BLVD # 1E, FORT MYERS, FL 33907-3631
(239) 689-3843
(239) 689-3852
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
10/09/2024
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