Timothy C. Runyon, DPM PA
Timothy C. Runyon, DPM PA is a Radiology Podiatrist in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
- Specialties on file
- 6
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1401 16th St NSt Petersburg, FL 33704-4123
Phone: (727) 894-0794
Fax: (727) 895-1215
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X |
|---|---|
| Radiology Podiatrist | Taxonomy 213ER0200X · Licence PO1101 (FL) |
| Sports Medicine Podiatrist | Taxonomy 213ES0000X · Licence PO1101 (FL) |
| Foot & Ankle Surgery Podiatrist | Taxonomy 213ES0103X · Licence PO1101 (FL) |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X · Licence PO1101 (FL) |
| Customized Equipment (DME) | Taxonomy 332BC3200X · Licence PO1101 (FL) |
Record details
| NPI number | 1093869851 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kyle Kinmon — Provider/Owner · (561) 995-0229 |
| NPI enumerated | January 22, 2007 |
| Last updated in NPPES | October 9, 2024 |
| Certification date | October 9, 2024 |
| Mailing address | 1401 16th St N, St. Petersburg, FL 33704-4123 |