CASEY ROBERT RUNTE

INDIALANTIC, FL
NPI1760016356
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  1170542)
Enumeration Date2020-02-24
Last Update Date2020-02-24
Business Address
CASEY ROBERT RUNTE
141 COCONUT DR
INDIALANTIC, FL 32903-2607
Phone number: 321-610-8939
Mailing Address
CASEY ROBERT RUNTE
2046 ABALONE AVE
INDIALANTIC, FL 32903-3802
Phone number: 321-368-5427