Runyon, David Wayne

Runyon, David Wayne is an individual health care provider with primary practice located at 2750 Se 17Th St , Ocala FL 34471-5519. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Dermatology. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Runyon, David Wayne can be contacted via phone (352) 732-7779.

Contact Information

Primary practice address
2750 Se 17Th St Ocala FL 34471-5519
Phone: (352) 732-7779
Fax: (352) 732-2664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 838 West Virginia
Allopathic & Osteopathic Physicians / Dermatology 207N00000X PA9109546 Florida

Profile Details

NPI number 1518964238
LBN Legal business name Runyon, David Wayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 9th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518964238 NPPES
Florida MEDICAID 022138600
Florida Other IQ891Z

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