Individual
CASEY ROBERT RUNTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
141 COCONUT DR, INDIALANTIC, FL 32903-2607
(321) 610-8939
Mailing address
2046 ABALONE AVE, INDIALANTIC, FL 32903-3802
(321) 368-5427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1170542
FL
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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