Timothy L. Light D.o., P.a.
NPI #1306191028 in Clearwater, Florida
Provider Information
- NPI Number
- 1306191028
- Entity Type
- Organization
- Organization Name
- Timothy L. Light D.o., P.a.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 18, 2012
- Last Updated
- Jul 18, 2012
Practice Location
- Address
- 1573 S FORT HARRISON AVE
- City
- Clearwater
- State
- Florida
- ZIP Code
- 33756-2004
- Phone
- (727) 584-8777
Authorized Official
- Name
- DR. TIMOTHY LEE LIGHT, D.O.
- Title
- PRESIDENT
- Phone
- (727) 584-8777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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