Organization · Type 2 NPI

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

Non-Pharmacy Dispensing Site · Brandon, FL

NPI number 1437745015 Active

Practice location

669A W Lumsden Rd
Brandon, FL 33511-5911

Call (813) 654-3354 Map

Fax (813) 653-9177

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Primary Podiatric Medicine Podiatrist	213EP1101X	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 Brandon

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NPI record

NPI: 1437745015
Entity type: Organization (Type 2)
Issued: Dec 17, 2020
Last updated: Oct 9, 2024
Status: Active

Other names

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

Authorized official

Kyle J Kinmon, DPM
Owner
(561) 995-0229

Verify this record

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 1437745015

Timothy C. Runyon, D.p.m. P.a.'s National Provider Identifier is 1437745015, issued on Dec 17, 2020. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Brandon, FL. The record was last updated on Oct 9, 2024.