Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Timothy L. Light DO, PA

Organization Family Medicine Physician · NPI 1306191028

Timothy L. Light DO, PA provides Family Medicine Physician services 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 Not confirmed with CMS for 14 years — call before visiting
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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