NPI 1023784188

Timothy C. Runyon, DPM, PA

Organisation Non-Pharmacy Dispensing Site Fort Myers, FL

Practice location

Address: 2540 Winkler Ave, Fort Myers, FL 33901-9338
Phone: (239) 278-4100
Mailing address: 1401 16th St N, St Petersburg, FL 33704-4123

Authorised official

Name: Kyle J Kinmon
Title: Ceo
Phone: (561) 995-0229

Registered specialties (2)

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

Other Non-Pharmacy Dispensing Site providers in Florida →

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

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Registry record

NPI: 1023784188
Entity type: Organization
NPI issued: 19 Aug 2021
Record last updated: 9 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.