Organization · Type 2 NPI

Timothy C. Runyon, D.p.m. P.a.

Non-Pharmacy Dispensing Site · St. Petersburg, FL

NPI number 1093869851 Active

Practice location

1401 16th St N
St. Petersburg, FL 33704-4123

Fax (727) 895-1215

Specialties and licenses

Taxonomy	Code	License
Radiology Podiatrist	213ER0200X	PO1101 (FL)
Sports Medicine Podiatrist	213ES0000X	PO1101 (FL)
Foot & Ankle Surgery Podiatrist	213ES0103X	PO1101 (FL)
Non-Pharmacy Dispensing Site Primary	332900000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	PO1101 (FL)
Customized Equipment (DME)	332BC3200X	PO1101 (FL)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

2 other providers at this address

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About NPI 1093869851

Timothy C. Runyon, D.p.m. P.a.'s National Provider Identifier is 1093869851, issued on Jan 22, 2007. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in St. Petersburg, FL. The record was last updated on Oct 9, 2024.