Runyon, Timothy C
Runyon, Timothy C is an sole proprietor health care provider with primary practice located at 1401 16Th St N , St Petersburg FL 33704-4123. He recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Runyon, Timothy C can be contacted via phone (727) 894-0794.Contact Information
Primary practice address
1401 16Th St N
St Petersburg FL 33704-4123
Phone: (727) 894-0794
Fax: (727) 895-1215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | FP1101 | Florida |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | PO1101 | Florida |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | PO1101 | Florida |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | PO1101 | Florida |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO1101 | Florida |
Profile Details
| NPI number | 1881657740 |
|---|---|
| LBN Legal business name | Runyon, Timothy C |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Feb 23rd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881657740 | NPPES |
| Florida | Other | 0854680001 | DMERC |
| Florida | MEDICAID | 041079900 | DMERC |
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