Individual
MR. MALCOLM H. LIGHT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
14171 METROPOLIS AVE STE 101, FORT MYERS, FL 33912-4335
(239) 936-0721
Mailing address
14171 METROPOLIS AVE STE 101, FORT MYERS, FL 33912-4335
(239) 936-0721
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY530
FL
Other
Enumeration date
03/22/2007
Last updated
02/06/2009
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