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James M Light Md Pa
Medical Specialty Clinic/Center in St Petersburg, Florida
NPI 1619112208

James M Light Md Pa is a Medical Specialty Clinic/Center based in St Petersburg, FL and is specialized in Medical Specialty. James M Light Md Pa practices in St Petersburg, FL. The NPI Number for James M Light Md Pa is 1619112208 and holds a License No. ME0025779 (Florida).

The current practice location address for James M Light Md Pa is 2299 9Th Ave N, St Petersburg, FL and can be reached out via phone at 727-989-4458 and via fax at 727-321-7918.

Location: 2299 9Th Ave N, St Petersburg, FL, 33703-4532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619112208
Provider Name
James M Light Md Pa
Credential
Provider Entity Type
Organization
Address
2299 9Th Ave N, St Petersburg, FL, 33703-4532
Phone Number
727-989-4458
Fax Number
727-321-7918
Provider Enumeration Date
12/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
058195000 05 FL
institution
Provider Business Practice Location Address Details
Address
2299 9Th Ave N
City
St Petersburg
State
Florida
Zip
33713-6800
Phone Number
727-989-4458
Fax Number
727-321-7918
person
Provider Business Mailing Address Details
Address
2299 9Th Ave N
City
St Petersburg
State
Florida
Zip
33713-6800
Phone Number
727-989-4458
Fax Number
727-321-7918
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
ME0025779 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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