Eric Runyon, D.O., P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

OS4300 Issued in FL

Legal business name

ERIC RUNYON, D.O., P.A.

Doing business as

Rdbo

Practice address

11760 SW 40TH St
Suite 654
Miami, FL 33175-3582

Phone

(786) 615-6123

Fax

(786) 615-6103

NPI assigned

Apr 29, 2016

Last updated

Apr 29, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Claudia Knickerboker

Title

Administrator

Phone

(786) 615-6123

Specialties & licenses 2

Addresses

Other names 1

• RDBO Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1801241658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "SUITE 654",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "786-615-6123",
            "fax_number": "786-615-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "SUITE 654",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "786-615-6123",
            "fax_number": "786-615-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC RUNYON, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "KNICKERBOKER",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-615-6123",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS8317",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS4300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RDBO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ian Ergui
• Federico Nicolas Erhart
• Eric G Friedman DC PA
• Eric J Rentz Physical Medicine Services PA
• Eric M. Payne, O.D., P.a.
• Erick a Daes DC PA
• Ericka V. Herrera OD PA
• Edward Erickson, ARNP
• Osmailyn Erigolla Perez
• Erik & E Medical Supplies, Inc.

• Obstetrics & Gynecology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.