Healthcare Provider Details

I. General information

NPI: 1356703185
Provider Name (Legal Business Name): PATRICK RYAN HONEYCUTT D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6043 WINTHROP COMMERCE AVE STE 201
RIVERVIEW FL
33578-4274
US

IV. Provider business mailing address

18430 S DIXIE HWY
CUTLER BAY FL
33157-6816
US

V. Phone/Fax

Practice location:
  • Phone: 813-291-0629
  • Fax: 813-515-3011
Mailing address:
  • Phone: 305-251-2552
  • Fax: 305-252-7768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO 3811
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO 3811
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: