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Individual

DR. JONATHAN NEAL RUNYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
DR.0077747
CO
2080P0203X
Pediatric Critical Care Medicine Physician
DR.0077747
CO
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME144468
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118231500
FL
Enumeration date
04/13/2017
Last updated
08/06/2026
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