Individual provider · Type 1 NPI

Timothy C. Runyon, D.P.M.

Foot & Ankle Surgery Podiatrist · St. Petersburg, FL

NPI number 1881657740 Active

Practice location

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

Fax (727) 895-1215

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XFP1101 (FL)
Sports Medicine Podiatrist 213ES0000XPO1101 (FL)
Primary Podiatric Medicine Podiatrist 213EP1101XPO1101 (FL)
Radiology Podiatrist 213ER0200XPO1101 (FL)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPO1101 (FL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1881657740

Timothy C. Runyon, D.P.M.'s National Provider Identifier is 1881657740, issued on Apr 10, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in St. Petersburg, FL. The record was last updated on Feb 23, 2016.