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Organization
TIMOTHY L. LIGHT D.O., P.A.
Active
Organization
TIMOTHY L. LIGHT D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY LEE LIGHT D.O. (PRESIDENT)
(727) 584-8777
Entity
Organization
Contact information
Practice address
1573 S FORT HARRISON AVE, CLEARWATER, FL 33756-2004
(727) 584-8777
(727) 216-6117
Mailing address
1573 S FORT HARRISON AVE, CLEARWATER, FL 33756-2004
(727) 584-8777
(727) 216-6117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS11758
FL
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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