Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy L. Light DO, PA

Organization Family Medicine Physician · NPI 1306191028

Timothy L. Light DO, PA is a Family Medicine Physician in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1573 S Fort Harrison Ave
Clearwater, FL 33756-2004
Phone: (727) 584-8777
Fax: (727) 216-6117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS11758 (FL)

Record details

NPI number1306191028
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Light — President · (727) 584-8777
NPI enumeratedJuly 18, 2012
Last updated in NPPESJuly 18, 2012
Mailing address1573 S Fort Harrison Ave, Clearwater, FL 33756-2004

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