Timothy C. Runyon, D.P.M. P.A.
LBN: Timothy C. Runyon, D.P.M. P.A.
Timothy C. Runyon, D.P.M. P.A. is an health care organization with primary practice located at 1401 16Th St N , St. Petersburg FL 33704-4123. The organization recently has 6 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Non-Pharmacy Dispensing Site, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty.
Timothy C. Runyon, D.P.M. P.A. can be contacted via phone (727) 894-0794, or through Kinmon, Kyle C via phone (561) 995-0229.
Contact Information
Primary practice address
1401 16Th St N
St. Petersburg FL 33704-4123
Phone: (727) 894-0794
Fax: (727) 895-1215
Website:
Authorized official contact:
Name: Kinmon, Kyle C Doctor of Podiatric Medicine (DPM)
Phone: (561) 995-0229
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | PO1101 | Florida |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | PO1101 | Florida |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO1101 | Florida |
| Suppliers / Non-Pharmacy Dispensing Site | 332900000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PO1101 | Florida |
| Suppliers / Customized Equipment | 332BC3200X | PO1101 | Florida |
Profile Details
| NPI number | 1093869851 |
|---|---|
| LBN Legal business name | Timothy C. Runyon, D.P.M. P.A. |
| DBA Doing business as | |
| Authorized official | Kinmon, Kyle C Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Apr 22nd, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093869851 | NPPES |
| Florida | MEDICAID | 340415300 |
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