| Lee Raymond Light Md Pa | |
|
10971 Bonita Beach Rd Ste 1 Bonita Springs FL 34135-9033 | |
| (239) 262-1833 | |
| (239) 262-3097 |
| Full Name | Lee Raymond Light Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 10971 Bonita Beach Rd, Bonita Springs, Florida |
| Authorized Official Name and Position | Lee Raymond Light (PHYSICIAN) |
| Authorized Official Contact | 2392621833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Raymond Light Md Pa 10971 Bonita Beach Rd Ste 1 Bonita Springs FL 34135-9033 Ph: (239) 262-1833 | Lee Raymond Light Md Pa 10971 Bonita Beach Rd Ste 1 Bonita Springs FL 34135-9033 Ph: (239) 262-1833 |
| NPI Number | 1861657736 |
|---|---|
| Provider Enumeration Date | 07/21/2008 |
| Last Update Date | 01/18/2019 |
| Medicare PECOS PAC ID | 1557437332 |
|---|---|
| Medicare Enrollment ID | O20080902000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861657736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lee R Light |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285662395 PECOS PAC ID: 8224937693 Enrollment ID: I20040105000611 |
Alborada Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3376 Woods Edge Circle, Ste 102, Bonita Springs, FL 34134 Phone: 239-948-4063 | |
Healthstar Medical Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10331 Autumn Brz Dr, #202, Bonita Springs, FL 34135 Phone: 239-961-5906 | |
Collier Hma Physician Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8951 Bonita Beach Rd Se Ste 310, Bonita Springs, FL 34135 Phone: 239-348-4221 Fax: 239-354-9509 | |
Medicalmastersorg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9200 Bonita Beach Rd Se Ste 113, Bonita Springs, FL 34135 Phone: 239-908-4711 Fax: 239-444-4702 | |
Robert Sadaty Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9400 Fountain Medical Ct, Suite B100, Bonita Springs, FL 34135 Phone: 239-494-6244 Fax: 239-992-4121 | |
Redi Med Of Bonita Springs Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9400 Bonita Beach Rd Se, Suite 101, Bonita Springs, FL 34135 Phone: 239-498-9294 Fax: 239-498-9179 | |
Dean L Rackleff Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9400 Bonita Beach Rd Se Ste 102, Bonita Springs, FL 34135 Phone: 239-455-9946 Fax: 239-455-9947 |