Whalio Doctors

NPI 1437745015

Timothy C. Runyon, D.P.M. P.A.

Organisation Non-Pharmacy Dispensing Site Brandon, FL

Practice location

Address
669a W Lumsden Rd, Brandon, FL 33511-5911
Phone
(813) 654-3354
Fax
(813) 653-9177
Mailing address
1401 16th St N, St Petersburg, FL 33704-4123

Authorised official

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

Registered specialties (2)

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X
Primary Podiatric Medicine Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X

Registry record

NPI
1437745015
Entity type
Organization
NPI issued
17 Dec 2020
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.