Organization · Type 2 NPI

Timothy C. Runyon, Dpm, PA

Non-Pharmacy Dispensing Site · Palm Harbor, FL

NPI number 1235897166 Active

Practice location

2595 Tampa Rd Ste O
Palm Harbor, FL 34684-3131

Call (727) 785-5611 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Podiatrist	213E00000X	None listed
Foot & Ankle Surgery Podiatrist	213ES0103X	None listed
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

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.)

Other non-pharmacy dispensing site providers in Palm Harbor

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NPI record

NPI: 1235897166
Entity type: Organization (Type 2)
Issued: Dec 8, 2021
Last updated: Oct 9, 2024
Status: Active

Other names

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Certified Foot & Ankle Specialists · doing business as
Certified Foot & Ankle Specialists · doing business as

Authorized official

Kyle J Kinmon
President
(561) 995-0229

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235897166

Timothy C. Runyon, Dpm, PA's National Provider Identifier is 1235897166, issued on Dec 8, 2021. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Palm Harbor, FL. The record was last updated on Oct 9, 2024.