Casey Robert Runte

NPI #1760016356 in Indialantic, Florida

Provider Information

NPI Number: 1760016356
Entity Type: Individual
Name: Casey Robert Runte
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Feb 24, 2020
Last Updated: Feb 24, 2020

Practice Location

Address: 141 COCONUT DR
City: Indialantic
State: Florida
ZIP Code: 32903-2607
Phone: (321) 610-8939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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