Runk, Robert D
Runk, Robert D is an individual health care provider with primary practice located at 1700 S Tamiami Trl , Sarasota FL 34239-3509. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Runk, Robert D can be contacted via phone (941) 917-8507.Contact Information
Primary practice address
1700 S Tamiami Trl
Sarasota FL 34239-3509
Phone: (941) 917-8507
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA0003599 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA0003599 | Florida |
Profile Details
| NPI number | 1093791584 |
|---|---|
| LBN Legal business name | Runk, Robert D |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Nov 14th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093791584 | NPPES |
| Florida | MEDICAID | 291578200 |
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