Organization
ERIC RUNYON, D.O., P.A.
Active
Other names
RDBO
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDIA KNICKERBOKER (ADMINISTRATOR)
(786) 615-6123
Entity
Organization
Contact information
Practice address
11760 SW 40TH ST, SUITE 654, MIAMI, FL 33175-3582
(786) 615-6123
(786) 615-6103
Mailing address
11760 SW 40TH ST, SUITE 654, MIAMI, FL 33175-3582
(786) 615-6123
(786) 615-6103
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS4300
FL
207V00000X
Obstetrics & Gynecology Physician
OS8317
FL
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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