Organization
TIMOTHY C. RUNYON, DPM, PA
Active
Organization
TIMOTHY C. RUNYON, DPM, PA
Active
Parent organization
TIMOTHY C. RUNYON, DPM, PA
Other names
Certified Foot & Ankle Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIMOTHY C. RUNYON, DPM, PA
Authorized official
KYLE J KINMON DPM (PRESIDENT/ OWNER)
(561) 995-0229
Entity
Organization
Contact information
Practice address
1003 DEL PRADO BLVD S STE 303, CAPE CORAL, FL 33990-3601
(239) 689-3843
(239) 689-3852
Mailing address
1401 16TH ST N, ST PETERSBURG, FL 33704-4123
(727) 894-0794
(727) 895-1215
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/09/2024
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