Individual
MR. DOUGLAS F TIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1104 ENISWOOD PKWY, PALM HARBOR, FL 34683-2022
(727) 459-9677
Mailing address
1104 ENISWOOD PKWY, PALM HARBOR, FL 34683-2022
(727) 459-9677
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3407
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290381400
—
FL
Enumeration date
05/10/2006
Last updated
03/24/2021
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