Light, Robert T

Light, Robert T is an individual health care provider with primary practice located at 455 W Warren Ave , Longwood FL 32750-4038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Light, Robert T can be contacted via phone (407) 262-2220.

Contact Information

Primary practice address
455 W Warren Ave Longwood FL 32750-4038
Phone: (407) 262-2220
Fax: (407) 834-5011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101233539 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME166560 Florida

Profile Details

NPI number 1881677391
LBN Legal business name Light, Robert T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Mar 18th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881677391 NPPES
Virginia MEDICAID 010004586
Virginia MEDICAID 121445800
Virginia Other 136804

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