JAMES M LIGHT MD PA NPI 1619112208

NPI Information

  • NPI: 1619112208
  • Provider Name: JAMES M LIGHT MD PA
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 2299 9TH AVE N
    SUITE1 A
    ST PETERSBURG, FL
    ZIP 33713
  • Phone: (727) 989-4458

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NPI Details

JAMES M LIGHT MD PA is a medical specialty clinic center in St Petersburg, FL. The provider is 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). JAMES M LIGHT MD PA NPI is 1619112208. The provider is registered as an organization entity type.

The provider's business location address is:

2299 9TH AVE N
SUITE1 A
ST PETERSBURG, FL
ZIP 33713-800
Phone: (727) 989-4458
Fax: (727) 321-7918

The provider's authorized official is James M Light .
The authorized official title is President and has the following contact phone number (727) 522-4485.

The enumeration date for this NPI number is 12/10/2008 and was last updated on 12/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyME0025779FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D58509MEDICARE UPINFLORIDA
2058195000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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