ERIC RUNYON, D.O., P.A.
Medical Practice at 40 St, Miami, FL

License number
Florida OS4300
Category
Medical Practice
Type
Obstetrics & Gynecology
License number
Florida OS8317
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: MRS. CLAUDIA KNICKERBOKER
Title: ADMINISTRATOR
Phone: (786) 615-6123
Address
Address
11760 SW 40Th St SUITE 654, Miami, FL 33175
National Provider ID: 1801241658
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ERIC RUNYON, D.O., P.A. at bizstanding.com

ERIC RUNYON, D.O., PA

Miami, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Nov 15, 2002
Inactive since:
Nov 15, 2014
Addresses:
11760 SW 40 St 654, Miami, FL 33175 (Physical)
11760 SW 40 St, Miami, FL 33175
State ID:
P02000122376
Business type:
Florida Profit Corporation
Director *s:
Runyon, Eric, D.o, 11760 SW 40, Miami, FL 33175 (Physical),Dunkin, Scott J, D.o, 11760 SW 40, Miami, FL 33175 (Physical),Eric Runyon (Director),...
EIN:
760720276

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